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Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester



Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester



Obstetrics & Gynecology 98(5 Part 2): 927-929



BACKGROUND: Rupture of a pregnant uterus occurs most often in a scarred uterus, and spontaneous rupture of a non-scarred uterus in the early second trimester is rare. CASE: A woman with two previous normal vaginal deliveries and no prior trauma to the uterus presented at 16 weeks' gestation with an acute abdomen due to intraperitoneal hemorrhage. A large rupture of the fundus of the uterus was found. A supracervical hysterectomy was carried out, with subsequent good recovery. The specimen showed placenta percreta. CONCLUSION: Spontaneous rupture of an unscarred uterus, due to placenta percreta, should be considered in cases of acute intraperitoneal hemorrhage, even in early pregnancy.

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Accession: 011156078

Download citation: RISBibTeXText

PMID: 11704207

DOI: 10.1016/s0029-7844(01)01580-0


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