Placenta percreta with silent rupture of the uterus.
We report a case of placenta percreta diagnosed by ultrasound and color doppler image at the fourteenth week of gestation. Initial approach was a trial of IM methotrexate followed by total hysterectomy, during which was observed a rupture of the uterus with the adherence of the placenta to the posterior region of the bladder. We also present a literature review on the incidence of placenta percreta, etiology, diagnosis, treatment, and complications.
Passini Júnior
R
R
Women's Assistance Center, College of Medical Sciences-CMS, State University of Campinas, Brazil.
Knobel
R
R
Barini
R
R
Marussi
E
E
D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D010921:Placenta Accreta / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging*; D011261:Pregnancy Trimester, First; D016216:Ultrasonography, Prenatal; D014597:Uterine Rupture / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery
D008727:Methotrexate