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  • Title: Spontaneous rupture of the uterus due to placenta percreta at 25-weeks' gestation: a case report.
    Author: Kinoshita T, Ogawa K, Yasumizu T, Kato J.
    Journal: J Obstet Gynaecol Res; 1996 Apr; 22(2):125-8. PubMed ID: 8697340.
    Abstract:
    Placenta percreta is a rare but serious complication of pregnancy, and is rarely diagnosed in the second trimester of pregnancy. We report a very rare case of placenta percreta accompanied by spontaneous uterine rupture at 25-weeks of gestation. A 30-year-old woman with severe abdominal pain was admitted to our hospital at 25 weeks of gestation. A laparotomy was immediately performed because of intraabdominal bleeding. The uterus revealed a perforation of the fundus. A supra-vaginal hysterectomy was performed. A pathological investigation of the uterus revealed placenta percreta. The patient had neither gravity nor any prior uterine operation. It is very rare for placenta percreta to be recognized in a primigravida woman or in the second trimester of pregnancy.
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