title: A life threatening uterine inversion and massive post partum hemorrhage caused by placenta accrete during Caesarean section in a primigravida: a case report.
abstract: BACKGROUND
  A 32-year-old Caucasian primigravida was admitted for elective Caesarean Section at 36 weeks and 6 days with the diagnosis of preeclampsia.
  
  
  METHODS
  Traction of the umbilical cord after delivery of a healthy baby resulted in uterine inversion. The placenta was found to be densely adherent to the posterior uterine wall. Piecemeal excision of the placenta as close as possible to the uterine lining was then performed.
  
  
  CONCLUSIONS
  In this way we were able to control a massive post partum hemorrhage and preserve the fertility of the patient.
authors.affiliation: Department of Obstetrics and Gynecology, Southend General Hospital NHS Trust, Prittlewell Chase, Westcliff on Sea, Essex, SS0 0RY, UK. dimitristsivos@hotmail.com.
authors.forename: Dimitris
authors.initials: D
authors.lastname: Tsivos
authors.forename: Fozia
authors.initials: F
authors.lastname: Malik
authors.forename: Kirana
authors.initials: K
authors.lastname: Arambage
authors.forename: Philip
authors.initials: P
authors.lastname: Hagan
authors.forename: Cheng
authors.initials: C
authors.lastname: Lee