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Spontaneous Rupture of the Uterus Due to Placenta Percreta at 25‐Weeks' Gestation: A Case Report
Author(s) -
Kinoshita Toshihiko,
Ogawa Keigo,
Yasumizu Takehiko,
Kato Junzo
Publication year - 1996
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1996.tb00953.x
Subject(s) - placenta percreta , medicine , uterus , obstetrics , pregnancy , laparotomy , gestation , fundus (uterus) , uterine rupture , perforation , abdominal pain , hysterectomy , placenta , complication , gynecology , fetus , surgery , genetics , materials science , metallurgy , punching , biology
Placenta percreta is a rare but serious complication of pregnancy, and is rarely diagnosed in the second trimester of pregnancy. We report a very rare case of placenta percreta accompanied by spontaneous uterine rupture at 25‐weeks of gestation. A 30‐year‐old woman with severe abdominal pain was admitted to our hospital at 25 weeks of gestation. A laparotomy was immediately performed because of intraabdominal bleeding. The uterus revealed a perforation of the fundus. A supra‐vaginal hysterectomy was performed. A pathological investigation of the uterus revealed placenta percreta. The patient had neither gravity nor any prior uterine operation. It is very rare for placenta percreta to be recognized in a primigravida woman or in the second trimester of pregnancy.