Placenta percreta.
A patient with an unsuspected placenta percreta presented with intraperitoneal bleeding at 33 weeks' gestation. Because of the clinical picture and a lecithin/sphingomyelin ratio of 1:1, this patient was treated conservatively until 38 weeks' gestation when an L/S ratio test indicated fetal maturity. The pregnancy was successfully terminated by cesarean hysterectomy.
D000328:Adult; D005260:Female; D006801:Humans; D010922:Placenta Diseases / Q000150:complications / Q000601:surgery; D011247:Pregnancy