title: Spontaneous uterine rupture at an unusual site due to placenta percreta in a 21-week twin pregnancy with previous cesarean section.
abstract: Spontaneous uterine rupture is a rare, but serious complication of placenta percreta. This case report is about a spontaneous uterine rupture at an unusual site due to placenta percreta in a 21-week twin pregnancy with previous cesarean section. A 30-year-old, G3, P2 woman was referred to our unit in the 21st week of a twin pregnancy with acute abdomen. An emergency laparotomy was performed with the diagnosis of uterine rupture and intra-abdominal hemorrhage. A significant hemoperitoneum was found, with both fetuses freely floating in the peritoneal cavity. A large transverse rupture at the posterior isthmus wall was detected. Subtotal hysterectomy with preservation of both ovaries was performed. Pathological investigation of the uterus revealed placenta percreta.
authors.affiliation: Department Obstetrics and Gynecology, School of Medicine, Istanbul University, Istanbul (Turkey).
authors.forename: S
authors.initials: S
authors.lastname: Topuz
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000150:complications* / Q000601:surgery; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011272:Pregnancy, Multiple; D014427:Twins; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery