Placenta percreta in week 10 of pregnancy with consecutive hysterectomy: case report.
Placenta percreta in early pregnancy is rare and has been documented in only a few cases. We report on a patient with abdominal pain in week 10 of pregnancy. Sonography revealed a defective embryonic development and the absence of a border line between trophoblast and myometrium, as well as invasive growth in the region of isthmocervical transition, so curettage was performed. Heavy bleeding at this stage made a hysterectomy necessary. Histological examination revealed a placenta percreta. Because of possible complications, the therapy of choice for a placenta percreta is a hysterectomy, as was performed in this case.
Höpker
Martin
M
Department of Obstetrics and Gynecology, Georg August University, Robert-Koch-Strasse 40, D-37075 Göttingen, Germany.
Fleckenstein
Georg
G
Heyl
Wolfgang
W
Sattler
Burkhard
B
Emons
Günter
G
D003475:Curettage / Q000009:adverse effects; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010922:Placenta Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery