IMR Press / CEOG / Volume 41 / Issue 5 / DOI: 10.12891/ceog17112014
Open Access Case Report
Uterine preservation in placenta percreta complicated by unscarred uterine rupture at second trimester in a patient with repeated molar pregnancies: a case report and brief review of the literature
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1 Department of Obstetrics and Gynecology, Tepecik Education and Research Hospital, Izmir
2 Department of Obstetrics and Gynecology, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Istanbul
3 Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul (Turkey)
Clin. Exp. Obstet. Gynecol. 2014 , 41(5), 590–592; https://doi.org/10.12891/ceog17112014
Published: 10 October 2014
Abstract

Placenta-percreta causing uterine rupture in unscarred uterus is a rare obstetric surgical emergency that can cause maternal and perinatal morbidity and mortality. A 25-year-old woman presented with abdominal pain for four days. Previously, she had undergone two suction curettages for complete hydatiform moles. Ultrasound revealed a non-viable fetus with an estimated gestational age of 21 weeks and free fluid and coagulum in the abdominal cavity. An emergency laparotomy was performed because of the acute abdomen. At exploration, the placenta had invaded the entire thickness of the myometrium and the non-viable fetus was in the abdominal cavity. The uterus was closed with a double-layer of interrupted sutures and uterine-sparing surgery was performed. The patient was discharged on postoperative day seven. The authors present a case of placenta-percreta in an unscarred uterus complicated with uterine rupture during the second-trimester that was managed successfully with uterine repair. They also review the literature briefly and discuss similar cases managed conservatively in the second-trimester.
Keywords
Placenta percreta
Uterine rupture
Second trimester
Unscarred uterus
Uterine preservation
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