Conservative surgical management of acute abdomen caused by placenta percreta in the second trimester

Y Aboulafia1, O Lavie, S Granovsky-Grisaru

  • 1Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel.

Placenta percreta accompanied by intraabdominal hemorrhage and acute abdomen in the second trimester is described. Suturing the myometrial defect created by the protruding placenta prolonged the pregnancy and achieved a viable fetus. Successful achievement of hemostasis, prolongation of the pregnancy, and survival of mother and fetus should encourage "conservative" surgery.