An unusual case of haemoperitonium and bladder invasion due to placenta percreta in the third trimester mimicking threatened uterine rupture

Authors

  • Shama Khan Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur, Madhya Pradesh, India
  • Kavita N. Singh Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur, Madhya Pradesh, India
  • Vineeta Ghanghoriya Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20160412

Keywords:

Percreta, Hemoperitonium, Bladder invasion

Abstract

Placenta praevia percreta is a rare but potentially lethal complication of pregnancy. It has an increasing clinical significance due to its association with previous caesarian section and uterine curettage. Herein we report a patient with placenta percreta, presenting in the emergency as 33 weeks of gestation with acute pain in abdomen and haemorrhagic shock, mimicking silent spontaneous uterine rupture, managed by emergency caesarian section followed by cesarian hysterectomy and bladder repair.

References

Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. Placenta Accreta/Increta/Percreta in the UK:A national case-control study. PLoS ONE. 2012;7:12-e52893.

Peker N, Turan V, Ergenoglu M, Yeniel O, Sever A, Kazandi M, Zekioglu O. Assessment of total placenta previa by magnetic resonance imaging and ultrasonography to detect placenta accreta and its variants. Ginekologia Polska. 2013;84:186-92.

Robinson BK, Grobman WA. Effectiveness of timing strategies for delivery of individuals with placenta previa and accreta. Obstet Gynecol. 2010;116(4):835-42.

Washecka R, Behling A. Urologic complications of placenta percreta invading the urinary bladder: a case report and review of the literature. Hawaii Med J. 2002;61(4):66-9.

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Published

2016-12-17

Issue

Section

Case Reports