Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 1 1 2016 01 20 19 21 EN Mahboobeh Shirazi Peronatologist, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences AND Moheb Yas Women General Hospital, Tehran, Iran Sedigheh Hantoushzadeh 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 2016 01 20 2016 01 20 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. https://crcp.tums.ac.ir/index.php/crcp/article/view/26 https://crcp.tums.ac.ir/index.php/crcp/article/download/26/6