Spontaneous uterine rupture from placenta percreta at 33 weeks' gestation after a single gynecologic surgery.

Koo, Bon Sang; Kim, Mi Ryung; Joo, Won Duk; Yoo, Hang Jo

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(10):1405-1408.
Published online October 1, 2007.

Spontaneous uterine rupture from placenta percreta at 33 weeks' gestation after a single gynecologic surgery.

Bon Sang Koo, Mi Ryung Kim, Won Duk Joo, Hang Jo Yoo

Department of Obstetrics & Gynecology, Ulsan University Hospital, Ulsan, Korea. doctorku@hanmail.net

Abstract

The current case describes a case of uterine rupture from placenta percreta in a woman who had only a single gynecologic surgery. We met the case of intrauterine fetal death (IUFD) with hemoperitoneum and found uterine rupture from placenta percreta by CT imaging. A 25-year-old woman was admitted to the emergency service for acute upper abdominal pain and severe hypotension at 33 weeks' gestation. She had undergone a single pelviscopic surgery due to cornual pregnancy 11 months previously. Ultrasonogram detected IUFD and hemoperitoneum. CT showed uterine rupture from placenta percreta. An emergency laparotomy was performed to correct the defect. The current case presents that placenta percreta can occur in a woman who had a single gynecologic surgery and clinicians should consider possible placenta percreta in diagnosing pregnant patients who present with acute abdominal pain and shock.

Key Words: Placenta percreta, Uterine rupture, Gynecologic surgery