Placenta percreta with painless uterine rupture at the 2nd trimester

Authors

• Salah M. Baloul, Department of Obstetrics, Taif Maternity Hospital, PO Box 5084, Taif, Kingdom of Saudi Arabia. Tel. +966 (2) 7489545. Fax. +966 (2) 8221683. E-mail: baloul_sa{at}yahoo.com
• Afaf R. Al-Sayali, Department of Obstetrics, Taif Maternity Hospital, Taif, Kingdom of Saudi Arabia.
• Amer M. Basha, Department of Obstetrics, Taif Maternity Hospital, Taif, Kingdom of Saudi Arabia.
• Nusrat J. Gangoo, Department of Obstetrics, Taif Maternity Hospital, Taif, Kingdom of Saudi Arabia.

Abstract

A pregnant lady at 27 weeks and 2 days gestation with a known placenta previa major and a history of previous lower segment cesarean section had a sudden severe painless vaginal bleeding. At laparotomy a uterine rupture was noted, no hemoperitoneum found and placenta percreta was diagnosed. This is the first case reported in the Kingdom of Saudi Arabia, it is rare, only 3 cases of silent or asymptomatic uterine rupture secondary to placenta percreta were reported in the literature in the last 30-years. Non-invasive methods could help in the diagnosis or increase suspicion of placenta percreta, therefore, proper management could be arranged through a multi-disciplinary team.

Article Type

Case Report

First Page

857

Last Page

859

Recommended Citation

Baloul, Salah M.; Al-Sayali, Afaf R.; Basha, Amer M.; and Gangoo, Nusrat J. (2002) "Placenta percreta with painless uterine rupture at the 2nd trimester," Saudi Medical Journal: Vol. 23: Iss. 7, Article 21.
DOI: https://doi.org/10.15537/1658-3175.1770