title: Placenta percreta diagnosed after first-trimester pregnancy termination: a case report.
abstract: BACKGROUND
  Placenta percreta in early pregnancy has been documented in only a few cases. This is the first report of placenta percreta diagnosed after an extended period from pregnancy termination.
  
  
  METHODS
  A woman with a history of a previous cesarean section presented with heavy and irregular vaginal bleeding beginning immediately after pregnancy termination at 7 weeks' gestation. Failed response to hormonal treatment and curettage necessitated hysterectomy. Histologic examination revealed a placenta percreta.
  
  
  CONCLUSIONS
  Although placenta percreta is an uncommon occurrence, clinicians should consider it in patients who have a uterotomy scar and complain of long-term metrorrhagia following pregnancy termination.
authors.affiliation: Department of Obstetrics and Gynecology, Medical Faculty, Trakya University, 22030 Edirne, Turkey. petekkaplan@hotmail.com
authors.forename: Petek
authors.initials: P
authors.lastname: Balkanli-Kaplan
authors.forename: Fatih
authors.initials: F
authors.lastname: Gucer
authors.forename: Fulya
authors.initials: F
authors.lastname: Oz-Puyan
authors.forename: M Ali
authors.initials: MA
authors.lastname: Yuce
authors.forename: Kemal
authors.initials: K
authors.lastname: Kutlu
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D000328:Adult; D003475:Curettage / Q000009:adverse effects; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000097:blood / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery