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Spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization
Author(s) -
Medel Jorge Martínez,
Mateo Sergio Castán,
Conde César Rodrigo,
Cabistany Esqué Ana Cristina,
Ríos Mitchell María José
Publication year - 2010
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.1447-0756.2009.01082.x
Subject(s) - medicine , placenta percreta , uterine rupture , hemoperitoneum , placenta accreta , gestation , obstetrics , in vitro fertilisation , abdominal pain , complication , decidua , shock (circulatory) , pregnancy , gynecology , fundus (uterus) , placenta , fetus , uterus , surgery , genetics , biology
We report a case of spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization. Spontaneous uterine rupture is an extremely infrequent obstetric complication that may compromise the lives of the fetus and the mother. We describe the case of a pregnant woman at 18 weeks' gestation who presented with sudden abdominal pain and severe hemoperitoneum. We noticed a uterine rupture and carried out an urgent obstetric hysterectomy. The patient died due to hypovolemic shock and severe generalized coagulopathy. The pregnancy had been obtained via in vitro fertilization techniques. The patient did not have any risk factor or antecedent. The anatomopathological study showed a fundus uterine rupture caused by placenta percreta.