title: Spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization.
abstract: We report a case of spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization. Spontaneous uterine rupture is an extremely infrequent obstetric complication that may compromise the lives of the fetus and the mother. We describe the case of a pregnant woman at 18 weeks' gestation who presented with sudden abdominal pain and severe hemoperitoneum. We noticed a uterine rupture and carried out an urgent obstetric hysterectomy. The patient died due to hypovolemic shock and severe generalized coagulopathy. The pregnancy had been obtained via in vitro fertilization techniques. The patient did not have any risk factor or antecedent. The anatomopathological study showed a fundus uterine rupture caused by placenta percreta.
authors.affiliation: Department of Obstetrics, Miguel Servet University Hospital, Zaragoza, Spain. jmartinezme@salud.aragon.es
authors.forename: Jorge Martínez
authors.initials: JM
authors.lastname: Medel
authors.forename: Sergio Castán
authors.initials: SC
authors.lastname: Mateo
authors.forename: César Rodrigo
authors.initials: CR
authors.lastname: Conde
authors.forename: Ana Cristina
authors.initials: AC
authors.lastname: Cabistany Esqué
authors.forename: María José
authors.initials: MJ
authors.lastname: Ríos Mitchell
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000473:pathology; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery