Placenta percreta occurring in second trimester of pregnancy causing rupture of myomectomy scarred uterus: A case report and review literature

บทคัดย่อ

Spontaneous uterine rupture due to placenta percreta in the second trimester is extremely rare. The author reports a case of non-specific symptoms of placenta percreta causing rupture of myomectomy scarred uterus at 27-week pregnancy. The case described of an elderly woman with the unconsciousness and impending hypovolemic shock, and followed by cardiac arrested. After successful cardiopulmonary support, the exploratory laparotomy revealed a hemoperitoneum, dead fetus in utero, fundal uterine rupture site, and trophoblastic tissue infiltration through three layers of the uterus. The patient had been performed emergency
hysterectomy and bilateral salpingectomy.