Abstract
Placenta accreta and placenta percreta are rare causes of serious obstetric hemorrhage. Here we report an undiagnosed case of placenta percreta presenting to the emergency department with shock in the third trimester of pregnancy. Emergency laparotomy with caesarean hysterectomy and blood transfusion are the key steps in successful management.
Highlights
Placenta percreta is a rare complication of pregnancy which is potentially lifethreatening for both the mother and the fetus
Uterine rupture due to placenta percreta is very rare, with an incidence of 1 in 5,000 pregnant women.[2]. This is to report a case of a previously undiagnosed placenta percreta which presented with shock due to uterine perforation and fetal distress
An undiagnosed case of placenta percreta presenting as a massive hemoperitoneum in obstetric emergency
Summary
Placenta percreta is a rare complication of pregnancy which is potentially lifethreatening for both the mother and the fetus. In patients with placenta previa, the risk of accreta is 10% to 25% with one prior caesarean section.[1] Uterine rupture due to placenta percreta is very rare, with an incidence of 1 in 5,000 pregnant women.[2] This is to report a case of a previously undiagnosed placenta percreta which presented with shock due to uterine perforation and fetal distress.
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