Spontaneous rupture of the uterus caused by placenta percreta at 28 weeks of gestation: a case report

J Obstet Gynaecol Res. 1998 Jun;24(3):211-4. doi: 10.1111/j.1447-0756.1998.tb00077.x.

Abstract

Placenta percreta is a rare complication of pregnancy. Rupture of the uterus due to placenta percreta is one of the most urgent obstetrical catastrophes. Recently, we observed a patient who developed placenta percreta accompanied by spontaneous uterine rupture at 28 weeks of gestation. A 29-year old gravida 3, para 1, who had a history of one cesarean section and one miscarriage with dilatation and curetage, was seen at 28 weeks of gestation. An acute abdomen and shock were diagnosed. Immediate laparotomy revealed a transverse rupture on the fundus of the uterus. A hysterectomy was performed. Pathological examination of the uterus showed placenta percreta. Rupture of the uterus due to placenta percreta before the onset of labor is extremely rare.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Fetal Death
  • Humans
  • Placenta Diseases / complications*
  • Placenta Diseases / pathology
  • Pregnancy
  • Pregnancy Complications*
  • Pregnancy Trimester, Second
  • Rupture, Spontaneous
  • Uterine Rupture / etiology*
  • Uterine Rupture / pathology