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Journal article

Placenta percreta causing rupture of an unscarred uterus at the end of the first trimester of pregnancy: Case report

Esmans A, Gerris J, Corthout E, Verdonk P, Declercq S...(+5 more)

Human Reproduction, vol. 19, issue 10 (2004) pp. 2401-2403

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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.

Author-supplied keywords

  • Hysterectomy
  • Placenta percreta
  • Spontaneous uterus rupture

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