Placenta Percreta in the Uterus Fundus at the Second Trimester: A Case Report

  • Zohreh Kazemi Department of Gynecologic Oncology, School of Medicine AND Research Development Unit Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Khadijeh Rezaie-Kahkhayi Department of Gynecologic Oncology, School of Medicine AND Amir Al-Momenin Hospital, Zabol University of Medical Sciences, Zabol, Iran
  • Zahra Anfasi Gynecologist, Atieh Hospital, Tehran, Iran
Keywords: Placenta percreta, Pregnancy, Uterine rupture, Acute abdomen

Abstract

Background: Placenta percreta is a rare complication of pregnancy with catastrophic outcomes for both mother and fetus. Abnormal placental attachment due to inadequate deciduas formation between trophoblast and myometrium is the main histological finding.Case Report: We present a case of placenta percreta in a 25-year-old woman accompanied by spontaneous uterine rupture at 25th week of gestation. In view of clinical symptoms and laboratory findings, the patient underwent laparotomy with a primary diagnosis of acute abdomen. We found no predisposing factor for abnormal placentation. As our patient wished to remain fertile, a successful uterine repair was performed.Conclusions: Histological assessment of the uterus showed placenta percreta. It is very rare for placenta percreta to cause uterine rupture in the second trimester, especially in a patient without any risk factors.
Published
2017-10-09
How to Cite
1.
Kazemi Z, Rezaie-Kahkhayi K, Anfasi Z. Placenta Percreta in the Uterus Fundus at the Second Trimester: A Case Report. AJS. 4(2):61-3.
Section
Case Report(s)