Spontaneous rupture of the uterus caused by placenta percreta at 28 weeks of gestation: a case report.
Placenta percreta is a rare complication of pregnancy. Rupture of the uterus due to placenta percreta is one of the most urgent obstetrical catastrophes. Recently, we observed a patient who developed placenta percreta accompanied by spontaneous uterine rupture at 28 weeks of gestation. A 29-year old gravida 3, para 1, who had a history of one cesarean section and one miscarriage with dilatation and curetage, was seen at 28 weeks of gestation. An acute abdomen and shock were diagnosed. Immediate laparotomy revealed a transverse rupture on the fundus of the uterus. A hysterectomy was performed. Pathological examination of the uterus showed placenta percreta. Rupture of the uterus due to placenta percreta before the onset of labor is extremely rare.
Department of Obstetrics and Gynecology, Owase General Hospital, Japan.
M
M
Moriya
H
H
Kusaka
K
K
Shimizu
N
N
Toyoda
D000328:Adult; D005260:Female; D005313:Fetal Death; D006801:Humans; D010922:Placenta Diseases / Q000150:complications* / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications; D011262:Pregnancy Trimester, Second; D012422:Rupture, Spontaneous; D014597:Uterine Rupture / Q000209:etiology* / Q000473:pathology