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J. Obstet. Gynaecol. Res. · Jun 1998
Case ReportsSpontaneous rupture of the uterus caused by placenta percreta at 28 weeks of gestation: a case report.
- M Moriya, H Kusaka, K Shimizu, and N Toyoda.
- Department of Obstetrics and Gynecology, Owase General Hospital, Japan.
- J. Obstet. Gynaecol. Res. 1998 Jun 1;24(3):211-4.
AbstractPlacenta percreta is a rare complication of pregnancy. Rupture of the uterus due to placenta percreta is one of the most urgent obstetrical catastrophes. Recently, we observed a patient who developed placenta percreta accompanied by spontaneous uterine rupture at 28 weeks of gestation. A 29-year old gravida 3, para 1, who had a history of one cesarean section and one miscarriage with dilatation and curetage, was seen at 28 weeks of gestation. An acute abdomen and shock were diagnosed. Immediate laparotomy revealed a transverse rupture on the fundus of the uterus. A hysterectomy was performed. Pathological examination of the uterus showed placenta percreta. Rupture of the uterus due to placenta percreta before the onset of labor is extremely rare.
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