Spontaneous uterine rupture due to placenta percreta in the second trimester of pregnancy: a case report.
10.7180/kmj.2017.32.2.263
- Author:
So Young SEO
1
;
Dong Wook KIM
;
Bo Mi KIM
;
Sung Wook CHUN
Author Information
1. Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Busan, Korea. wooki1974@empal.com
- Publication Type:Case Report
- Keywords:
Hemoperitoneum;
Hysterectomy;
Placenta percreta;
Uterine rupture
- MeSH:
Abdominal Pain;
Adult;
Bradycardia;
Cervix Uteri;
Cesarean Section;
Female;
Fetus;
Hemoperitoneum;
Hemorrhage;
Humans;
Hysterectomy;
Intensive Care Units;
Laparotomy;
Pathology;
Placenta Accreta*;
Placenta*;
Pregnancy;
Pregnancy Trimester, Second*;
Pregnancy*;
Premature Birth;
Ultrasonography;
Uterine Rupture*;
Uterus
- From:Kosin Medical Journal
2017;32(2):263-268
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 32-year-old multiparous woman (gravida 2, para 2) with a history of previous cesarean section had acute abdominal pain and collapsed at 21 weeks of gestation. Exploratory laparotomy was performed because of the patient's worsening condition; ultrasound examination results were suggestive of massive hemoperitoneum, and fetus in vertex presentation with bradycardia. Uterine rupture between the left lower segment and borderline of the cervix in the anterior wall with active bleeding was confirmed. An uncomplicated classical cesarean section was performed, but the fetus was stillborn due to preterm birth. Hysterectomy was performed after the cesarean section. The patient was admitted to intensive care units for 3 days and was discharged in 12 days following delivery. Placenta percreta at the anterior lower segment of the uterus was confirmed in the pathology report.
