title: Placenta percreta with painless uterine rupture at the 2nd trimester.
abstract: A pregnant lady at 27 weeks and 2 days gestation with a known placenta previa major and a history of previous lower segment cesarean section had a sudden severe painless vaginal bleeding. At laparotomy a uterine rupture was noted, no hemoperitoneum found and placenta percreta was diagnosed. This is the first case reported in the Kingdom of Saudi Arabia, it is rare, only 3 cases of silent or asymptomatic uterine rupture secondary to placenta percreta were reported in the literature in the last 30-years. Non-invasive methods could help in the diagnosis or increase suspicion of placenta percreta, therefore, proper management could be arranged through a multi-disciplinary team.
authors.affiliation: Department of Obstetrics, Taif Maternity Hospital, PO Box 5084, Taif, Kingdom of Saudi Arabia. baloul_sa@yahoo.com
authors.forename: Salah M
authors.initials: SM
authors.lastname: Baloul
authors.forename: Afaf R
authors.initials: AR
authors.lastname: Al-Sayali
authors.forename: Amer M
authors.initials: AM
authors.lastname: Basha
authors.forename: Nusrat J
authors.initials: NJ
authors.lastname: Gangoo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008423:Maternal Age; D010921:Placenta Accreta / Q000150:complications* / Q000453:epidemiology; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D018566:Pregnancy, High-Risk; D012529:Saudi Arabia / Q000453:epidemiology; D014597:Uterine Rupture / Q000209:etiology*