A case of a placenta percreta presenting with severe vaginal bleeding following early second trimester pregnancy termination

Abstract

A 14-week pregnant woman was admitted to the hospital for pregnancy termination because of early rupture of membranes. Dilatation and curettage were performed because the placenta did not separate spontaneously after fetus evacuation. The placenta could not be extracted and severe vaginal bleeding occurred. The patient’s condition deteriorated. Placenta percreta was detected intraoperatively. Emergency hysterectomy was performed. Because of the high risk of maternal morbidity and mortality, it is important to consider placenta percreta in the presence of prolonged frst and second trimester pregnancy termination, especially in those patients with a history of uterine surgery.