title: [Placenta percreta: A rare etiology of spontaneous uterine perforation in the second trimester of pregnancy].
abstract: Placenta accreta is an abnormal adherence of placenta to the uterine wall without interposition of decidua basalis. Placenta percreta is the rarest form but may complicate the pregnancy with acute severe hemorrhage. We report a case of placenta percreta with multiple perforations of an unscarred uterus reaveled by hemoperitoneum at 22 weeks in a 33-years-old gravida 2 para 1. Emergency total hysterectomy was performed. Risk factors, clinical approach and therapeutic managements are discussed.
authors.affiliation: CHU de Yopougon, Côte d'Ivoire, France. konan_ble@yahoo.fr
authors.forename: R Konan
authors.initials: RK
authors.lastname: Blé
authors.forename: S
authors.initials: S
authors.lastname: Adjoussou
authors.forename: B
authors.initials: B
authors.lastname: Doukoure
authors.forename: D
authors.initials: D
authors.lastname: Gallot
authors.forename: N
authors.initials: N
authors.lastname: Olou
authors.forename: A
authors.initials: A
authors.lastname: Koffi
authors.forename: M
authors.initials: M
authors.lastname: Fanny
authors.forename: M
authors.initials: M
authors.lastname: Koné
mesh_terms: D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000175:diagnosis / Q000601:surgery; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014595:Uterine Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D055815:Young Adult