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  • Title: Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester.
    Author: LeMaire WJ, Louisy C, Dalessandri K, Muschenheim F.
    Journal: Obstet Gynecol; 2001 Nov; 98(5 Pt 2):927-9. PubMed ID: 11704207.
    Abstract:
    BACKGROUND: Rupture of a pregnant uterus occurs most often in a scarred uterus, and spontaneous rupture of a non-scarred uterus in the early second trimester is rare. CASE: A woman with two previous normal vaginal deliveries and no prior trauma to the uterus presented at 16 weeks' gestation with an acute abdomen due to intraperitoneal hemorrhage. A large rupture of the fundus of the uterus was found. A supracervical hysterectomy was carried out, with subsequent good recovery. The specimen showed placenta percreta. CONCLUSION: Spontaneous rupture of an unscarred uterus, due to placenta percreta, should be considered in cases of acute intraperitoneal hemorrhage, even in early pregnancy.
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