Placenta percreta with painless uterine rupture at the 2nd trimester.
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.
Baloul
Salah M
SM
Department of Obstetrics, Taif Maternity Hospital, PO Box 5084, Taif, Kingdom of Saudi Arabia. baloul_sa@yahoo.com
Al-Sayali
Afaf R
AR
Basha
Amer M
AM
Gangoo
Nusrat J
NJ
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*