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Ugeskrift for laeger · Feb 2014
Case Reports[Uterine rupture caused by placenta percreta in the first half of the pregnancy].
- Christian Dacesin Vyrdal, Maja Harder Kirkegaard, Vibeke Nielsen, and Lars Høj.
- Gynækologisk-obstetrisk Afdeling, Sygehus Sønderjylland, Sydvang 1, 6200 Sønderborg. cvy@dadlnet.dk.
- Ugeskr. Laeg. 2014 Feb 24; 176 (9A): V10130586.
AbstractA 32-year-old woman in her 18th week of gestation was admitted to hospital due to abdominal pain and hypotension. A CT scan showed bleeding from the uterus into the abdomen and an acute laparotomy revealed a uterine rupture due to placenta percreta. The placenta was removed and a Bakri balloon was installed in the uterus. However the next morning the bleeding continued and a total hysterectomy was unavoidable. This case report shows that uterine rupture due to placenta percreta is a differential diagnosis in pregnant woman with abdominal pain and hypotension, even in the first half of the pregnancy.
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