A case of placenta increta presenting as delayed postabortal intraperitoneal bleeding in the first trimester

J Korean Med Sci. 2007 Oct;22(5):932-5. doi: 10.3346/jkms.2007.22.5.932.

Abstract

Placenta increta is an uncommon and life-threatening complication of pregnancy characterized by complete or partial absence of the decidua basalis. Placenta increta usually presents with vaginal bleeding during difficult placental removal in the third-trimester. Although placenta increta may complicate first and early second-trimester pregnancy loss, the diagnosis can be very difficult during early pregnancy and thus the lesion is difficult to identify. We encountered with a woman who was diagnosed with placenta increta after receiving emergency hysterectomy due to intraperitoneal bleeding 2 months after an uncomplicated dilatation and curettage in the first trimester. Therefore, we report this case with a brief review of the literature.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Induced / adverse effects*
  • Adult
  • Diagnosis, Differential
  • Female
  • Humans
  • Placenta Accreta / diagnosis*
  • Pregnancy
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Uterine Hemorrhage / diagnosis*