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  • Title: [Uterine rupture caused by placenta percreta in the first half of the pregnancy].
    Author: Vyrdal CD, Kirkegaard MH, Nielsen V, Høj L.
    Journal: Ugeskr Laeger; 2014 Feb 24; 176(9A):V10130586. PubMed ID: 25350415.
    Abstract:
    A 32-year-old woman in her 18th week of gestation was admitted to hospital due to abdominal pain and hypotension. A CT scan showed bleeding from the uterus into the abdomen and an acute laparotomy revealed a uterine rupture due to placenta percreta. The placenta was removed and a Bakri balloon was installed in the uterus. However the next morning the bleeding continued and a total hysterectomy was unavoidable. This case report shows that uterine rupture due to placenta percreta is a differential diagnosis in pregnant woman with abdominal pain and hypotension, even in the first half of the pregnancy.
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