title: Placenta percreta presenting in the first trimester and resulting in severe consumption coagulopathy and hysterectomy: a case report.
abstract: Placenta percreta complicating pregnancy in the first trimester is extremely rare, and only a few cases have been reported in the literature. A patient with risk factors for placenta percreta that presented as first trimester fetal demise, unresponsive to medical management with prostaglandin, is presented. The patient required an emergency hysterectomy to control the bleeding after uterine curettage which was complicated by severe consumption coagulopathy. This rare entity can lead to significant mortality and morbidity, particularly in the background of an increased prevalence of the disease and its associated risk factors, and the large number of spontaneous and induced abortions performed worldwide.
authors.affiliation: Department of Obstetrics and Gynecology, Leoforos Knossou, Heraklion, Crete, Greece. juanpapadakis@doctors.org.uk
authors.forename: J C
authors.initials: JC
authors.lastname: Papadakis
authors.forename: N
authors.initials: N
authors.lastname: Christodoulou
authors.forename: A
authors.initials: A
authors.lastname: Papageorgiou
authors.forename: M
authors.initials: M
authors.lastname: Rasidaki