Placenta percreta leading to spontaneous complete uterine rupture in the second trimester

被引：17

作者：

Fleisch, M. C. ^{[1
]}

Lux, J. ^{[1
]}

Schoppe, M. ^{[2
]}

Grieshaber, K. ^{[1
]}

Hampl, M. ^{[1
]}

机构：

[1] Univ Dusseldorf, Dept Obstet & Gynecol, D-40225 Dusseldorf, Germany

[2] Univ Dusseldorf, Dept Pathol, D-40225 Dusseldorf, Germany

来源：

GYNECOLOGIC AND OBSTETRIC INVESTIGATION | 2008年 / 65卷 / 02期

关键词：

placenta percreta; uterine rupture; cesarean section; second trimester; complication;

D O I：

10.1159/000108288

中图分类号：

R71 [妇产科学];

学科分类号：

100211 [妇产科学];

摘要：

A 30-year-old gravida 2 para 1 was admitted to hospital 2 years after cesarean section at 20 weeks' gestation with acute onset of abdominal pain and hypovolaemic shock. Emergency laparotomy revealed a uterine rupture located in the anterior uterine wall caused by a placenta percreta and supracervical hysterectomy was performed. This site of invasion and finally rupture was in projection of the previous lower-segment cesarean section. This report illustrates the dramatic consequences of abnormal placentation after prior uterine surgery, which can already occur early during pregnancy and prior to the onset of labour. Copyright (C) 2008 S. Karger AG, Basel.

引用

页码：81 / 83

页数：3

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