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



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



Human Reproduction 19(10): 2401-2403



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.

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Accession: 012421036

Download citation: RISBibTeXText

PMID: 15298972

DOI: 10.1093/humrep/deh421


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