Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester.
BACKGROUND
Rupture of a pregnant uterus occurs most often in a scarred uterus, and spontaneous rupture of a non-scarred uterus in the early second trimester is rare.


METHODS
A woman with two previous normal vaginal deliveries and no prior trauma to the uterus presented at 16 weeks' gestation with an acute abdomen due to intraperitoneal hemorrhage. A large rupture of the fundus of the uterus was found. A supracervical hysterectomy was carried out, with subsequent good recovery. The specimen showed placenta percreta.


CONCLUSIONS
Spontaneous rupture of an unscarred uterus, due to placenta percreta, should be considered in cases of acute intraperitoneal hemorrhage, even in early pregnancy.
LeMaire
W J
WJ
Department of Obstetrics and Gynaecology, St. Jude Hospital, St. Lucia, West Indies, Barbados. wlemaire@mailexcite.com
Louisy
C
C
Dalessandri
K
K
Muschenheim
F
F
D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000473:pathology* / Q000601:surgery; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014597:Uterine Rupture / Q000473:pathology* / Q000601:surgery; D014599:Uterus / Q000473:pathology*