title: Spontaneous rupture of the uterus due to placenta percreta at 25-weeks' gestation: a case report.
abstract: Placenta percreta is a rare but serious complication of pregnancy, and is rarely diagnosed in the second trimester of pregnancy. We report a very rare case of placenta percreta accompanied by spontaneous uterine rupture at 25-weeks of gestation. A 30-year-old woman with severe abdominal pain was admitted to our hospital at 25 weeks of gestation. A laparotomy was immediately performed because of intraabdominal bleeding. The uterus revealed a perforation of the fundus. A supra-vaginal hysterectomy was performed. A pathological investigation of the uterus revealed placenta percreta. The patient had neither gravity nor any prior uterine operation. It is very rare for placenta percreta to be recognized in a primigravida woman or in the second trimester of pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Yamanashi Medical College, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kinoshita
authors.forename: K
authors.initials: K
authors.lastname: Ogawa
authors.forename: T
authors.initials: T
authors.lastname: Yasumizu
authors.forename: J
authors.initials: J
authors.lastname: Kato
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014597:Uterine Rupture / Q000209:etiology* / Q000473:pathology / Q000601:surgery