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[The special case: rare gynecologic emergency of uterine perforation in placenta percreta]
The term placenta percreta signifies a penetration of placenta villus growing through the myometrial wall to the serosal side. The incidence has been reported to vary between 1:1000 to 1:70 000. Thus uteral rupture as a result of placenta percreta is a rare event. Signs of severe shock as leading signs predominate. Immediate laparotomy with hysterectomy is the therapy of choice. The final diagnosis is based on histology.
The term placenta percreta signifies a penetration of placenta villus growing through the myometrial wall to the serosal side. The incidence has been reported to vary between 1:1000 to 1:70 000. Thus uteral rupture as a result of placenta percreta is a rare event. Signs of severe shock as leading signs predominate. Immediate laparotomy with hysterectomy is the therapy of choice. The final diagnosis is based on histology.