Spontaneous Uterine Rupture due to Placenta Percreta in Second Trimester of Pregnancy: A Case Report
AbstractSpontaneous uterine rupture due to placenta percreta in the second trimester is extremely rare and difficult to manage. A 26-year old pregnant woman at 27 gestational weeks with a history of two previous cesarean sections admitted to our center because of abdominal pain and vaginal bleeding. Ultrasound examination revealed placenta previa with moderate amount of intraperitoneal fluid. The border between myometrium and placenta was not differentiated. Paracentesis under ultrasound guidance showed bloody fluid. On emergency laparotomy, there was 1500 ml of blood in the peritoneal cavity and placenta was protruding through a bleeding full thickness uterine defect. Hemorrhage was controlled by transfusion of blood products and conservative surgery. The patient was discharged on the 3th day after surgery without complications. Placenta percreta induced spontaneous uterine rupture should be taken into consideration in pregnant women who have abdominal pain and intraperitoneal fluid
Silver RM. Abnormal placentation: placenta previa, vasa previa, and placenta accreta. Obstet Gynecol 2015; 126: 654-68.
Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005; 192: 1458–61.
Silver RM, Barbour KD. Placenta accreta spectrum: accrete, increta, and percreta. Obstet Gynecol Clin North Am 2015; 42: 381-402.
Hornemann A, Bohlmann MK, Diedrich K, Kavallaris A, Kehl S, Kelling K, et al. Spontaneous uterine rupture at the 21st week of gestation caused by placenta percreta. Arch Gynecol Obstet 2011; 284: 875-8.
Oyelese Y, Smulian JC. Placenta previa, placenta accreta, and vasa previa. Obstet Gynecol 2006; 107: 927–41.
Clark SL, Koonings PP, Phelan JP. Placenta previa/accrete and prior cesarean section. Obstet Gynecol 1985; 66: 89-92.
Jang DG, Lee GS, Yoon JH, Lee SJ. Placenta percreta-induced uterine rupture diagnosed by laparoscopy in the first trimester. Int J Med Sci 2011; 8: 424-7.
Hanif S, Hanif H, Sharif S. Acute abdomen at 12 weeks secondary to placenta percreta. J Coll Physicians Surg Pak 2011; 21: 572-3.
Medel JM, Mateo SC, Conde CR, Cabistany Esque AC, Rios Mitchell MJ. Spontaneous uterine rupture caused by placenta percreta at 18 weeks’ gestation after in vitro fertilization. J Obstet Gynaecol Res 2010; 36: 170-3.
Roeters AE, Oudijk MA, Heydanus R, Bruinse HW. Pregnancy outcome after intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation. Obstet Gynecol 2007; 109: 574-6.
Pal R, Prasad D, Jain S. Placenta percreta causing rupture of uterus in second trimester of pregnancy in non scarred uterus with an unusual presentation: a case report and review of literature. OJOG 2014; 4: 695-8.
Salman MC, Calis P, Deren O. Uterine rupture with massive late postpartum hemorrhage due to placenta percreta left partially in situ. Case Rep Obstet Gynecol 2013; 2013: 906351
Sparic R, Mirkovic L, Ravilic U, Janjic T. Obstetric complications of placenta previa percreta. Vojnosanit Pregl 2014; 71: 1163-6.
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