Spontaneous Uterine Rupture with Placenta Percreta.

Park, Su Hyun; Kim, Hae Suk; Kim, Min Hyoung; Choi, June Seek; Han, Jung Yeol; Hong, Sung Ran; Lee, Young Ho

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(6):1236-1241.
Published online June 1, 2003.

Spontaneous Uterine Rupture with Placenta Percreta.

Su Hyun Park, Hae Suk Kim, Min Hyoung Kim, June Seek Choi, Jung Yeol Han, Sung Ran Hong, Young Ho Lee

¹Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
²Department of Pathology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
³Department of Radiology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Placenta percreta occurs when chorionic villi penetrate through the myometrium up to the serosa. The incidence of placenta percreta is extremely rare (about 1/140000 deliveries) but it is accompanied by life threatening complication of pregnancy due to massive hemorrhage. Antepartum diagnosis and proper management is important to decrease the marternal mortality and morbidity. We present two cases of spontaneous uterine rupture due to placenta percreta with brief review of literature. The one is that a women with a history of previous ceasrean section and placenta previa was treated with cesarean hysterectomy due to the spontaneous uterine rupture with placenta percreta at GA 37(+2) weeks. The other is that a women with a bicornuate uterus had preserved the ruptured uterus with placenta percreta incidentally detected at emergency cesarean section at GA 39(+5) weeks.

Key Words: Placenta percreta