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[Uterine rupture caused by placenta percreta in the first half of the pregnancy]

Christian Dacesin Vyrdal1, Maja Harder Kirkegaard, Vibeke Nielsen

  • 1Gynækologisk-obstetrisk Afdeling, Sygehus Sønderjylland, Sydvang 1, 6200 Sønderborg. cvy@dadlnet.dk.

Ugeskrift for Laeger
|October 29, 2014
PubMed

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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