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.
Moriya
M
M
Department of Obstetrics and Gynecology, Owase General Hospital, Japan.
Kusaka
H
H
Shimizu
K
K
Toyoda
N
N
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