Spontaneous Uterine Rupture and Live Fetus in 21th Week of Pregnancy with Hemorrhagic Shock Due to Placenta Percreta: A Case Report

  • Mahboobeh Shirazi Mail Peronatologist, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran.
  • Sedigheh Hantoush-Zadeh Peronatologist, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran.
  • Khadijeh Rezaie-Keikhaie Peronatologist, Department of Obstetrics and Gynecology, Zabol University of Medical Sciences, Zabol, Iran.
  • Reihaneh Pirjani Peronatologist, Assistant Professor, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran.
Keywords:
Uterine rupture during pregnancy, Second trimester, Hydatidiform mole, Suction and curettage, Bell’s palsy

Abstract

The prevalence of placenta percreta in early stage of pregnancy is very infrequent; nevertheless, it is known as a life-threatening complication. In this report, we introduce a case of massive intra-abdominal hemorrhage associated  with  placenta  percreta  and  uterine  rupture.  A  35-year-old woman, gravid 3 para 1, with a previous Cesarean section and complete mole, underwent suction and curettage. She was admitted to emergency department for acute abdominal pain, massive intra-abdominal bleeding and hypovolemic shock. An urgent laparotomy and hysterectomy was performed after resuscitation procedures applied. Uterus-saving procedure was impossible; the middle part of uterus had a perforation in size of 5 millimeters. The patient was discharged on the 4th following day in a stable condition. The pathologic report was placenta accreta.

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Published
2016-01-20
How to Cite
1.
Shirazi M, Hantoush-Zadeh S, Rezaie-Keikhaie K, Pirjani R. Spontaneous Uterine Rupture and Live Fetus in 21th Week of Pregnancy with Hemorrhagic Shock Due to Placenta Percreta: A Case Report. CRCP. 1(1):19-21.
Section
Case Report(s)