title: [Uterine rupture caused by placenta percreta in the first half of the pregnancy].
abstract: A 32-year-old woman in her 18th week of gestation was admitted to hospital due to abdominal pain and hypotension. A CT scan showed bleeding from the uterus into the abdomen and an acute laparotomy revealed a uterine rupture due to placenta percreta. The placenta was removed and a Bakri balloon was installed in the uterus. However the next morning the bleeding continued and a total hysterectomy was unavoidable. This case report shows that uterine rupture due to placenta percreta is a differential diagnosis in pregnant woman with abdominal pain and hypotension, even in the first half of the pregnancy.
authors.affiliation: Gynækologisk-obstetrisk Afdeling, Sygehus Sønderjylland, Sydvang 1, 6200 Sønderborg. cvy@dadlnet.dk.
authors.forename: Christian Dacesin
authors.initials: CD
authors.lastname: Vyrdal
authors.forename: Maja Harder
authors.initials: MH
authors.lastname: Kirkegaard
authors.forename: Vibeke
authors.initials: V
authors.lastname: Nielsen
authors.forename: Lars
authors.initials: L
authors.lastname: Høj
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000000981:diagnostic imaging / Q000601:surgery; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014463:Ultrasonography; D014597:Uterine Rupture / Q000209:etiology / Q000601:surgery