Title
Placenta percreta causing rupture of an unscarred uterus at the end of the first trimester of pregnancy : case reportPlacenta percreta causing rupture of an unscarred uterus at the end of the first trimester of pregnancy : case report
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Faculteit Geneeskunde
Publication type
article
Publication
Bonn,
Subject
Biology
Human medicine
Source (journal)
Human reproduction. - Bonn
Volume/pages
19(2004):10, p. 2401-2403
ISSN
0268-1161
ISI
000223943500037
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Abstract
Reports on placenta percreta in early pregnancy leading to a spontaneous rupture of the uterus are rare. We report a case of this potentially life-threatening complication in the 14th week of pregnancy in an otherwise healthy woman who underwent a manual extraction of the placenta during a previous delivery but who had no history of severe pathology that could have potentially resulted in uterine damage. The occurrence of severe abdominal pain and the presence of a large quantity of free fluid in the abdomen necessitated an emergency laparotomy, revealing a haemoperitoneum due to rupture of the uterus, which was followed by a hysterectomy. This case demonstrates that in patients with a history of placenta accreta and subsequent manual extraction of the placenta, a close investigation of the uterine wall and placentation should be performed in the first trimester in order to anticipate a placenta percreta.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/8b8c7d/5826.pdf
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