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Fundal partial placenta percreta complicated with postpartum hemoperitoneum: A case report
Dema Adwan1, Wessam Taifour1, Rafat Bhsass2
1Damascus University, Gynecology and Obstetrics Hospital, Damascus, Syria.
International Journal of Surgery Case Reports
|October 15, 2021
Summary
Abnormally invasive placenta in the uterine fundus is rare. Prior uterine surgery, even without C-sections, should raise suspicion for this condition, especially with preterm labor or retained placenta.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Abnormally invasive placenta (AIP) is typically located in the lower uterine segment.
- Fundal location of AIP is rare but documented.
Purpose of the Study:
- To report a rare case of fundal partial placenta percreta.
- To highlight diagnostic and management considerations for AIP in unusual locations.
Main Methods:
- Case report of a 38-year-old multipara with fundal partial placenta percreta.
- Presentation of retained placenta after preterm labor, complicated by hemorrhagic shock.
- Management involved subtotal hysterectomy.
Main Results:
- Diagnosis of placenta percreta was confirmed post-surgery.
- Hemorrhagic shock due to postpartum hemoperitoneum occurred.
- Subtotal hysterectomy was required for management.
Conclusions:
- Risk factors for AIP include curettage trauma and cesarean delivery scars.
- History of uterine surgery without prior cesarean delivery warrants suspicion for AIP.
- AIP should be considered in cases of preterm labor or retained placenta, irrespective of location.
