title: Placenta increta and cocaine abuse in a grand multipara leading to a second trimester rupture of an unscarred uterus: a case report.
abstract: A case of a uterine rupture in a grand multiparous patient with an unscarred uterus at 19 weeks' gestation secondary to placenta increta and cocaine abuse is presented. This was a diagnostically difficult case where abnormal implantation of the placenta, grand multiparity, and cocaine abuse were all contributors to the uterine rupture.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida, Tampa General Hospital, Tampa, FL 33606, USA. jpalmer@hsc.usf.edu
authors.forename: James M
authors.initials: JM
authors.lastname: Palmer
authors.forename: Megan D
authors.initials: MD
authors.lastname: Indermaur
authors.forename: Christine C
authors.initials: CC
authors.lastname: Tebes
authors.forename: William N
authors.initials: WN
authors.lastname: Spellacy
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications*; D005260:Female; D006801:Humans; D010298:Parity; D010921:Placenta Accreta; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014597:Uterine Rupture / Q000209:etiology*