Spontaneous Uterine Rupture at The 13th Weeks of Gestation Caused by Placenta Percreata: A Case Report
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Tarih
2020
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
To describe the management of a ruptured uterus caused by placenta percreta at the 13th week of gestation. Spontaneous rupture of the nonlaboringuterus is a relatively rare occurrence in obstetrics. It is associated with massive intra-peritoneal bleeding which can be mortal if notrecognized.A 33-year-old patient presented with severe abdominal pain at the 13th week of gestation at the emergency service of Health Sciences UniversityGazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey. The patient’s ultrasonography revealed free fluid in the abdomen, placenta previaand anomaly in the fetus.Magnetic resonance imaging (MRI) was performed for differential diagnosis of free fluid. MRI showed hematoma between the bladder and uterus.After the signs of hypovolemic shock developed, we performed an immediate laparotomy and a ruptured uterus was detected. The fetus wasremoved and a hysterectomy was performed. Pathology results showed placenta percreta. After a few days in hospital and transfusion of 5 liters ofblood, the patient was discharged in a healthy condition.In a pregnant woman with severe abdominal pain, even in the 13th week of gestation, a placenta acreta has to be considered as a differentialdiagnosis. If there is no benefit of the other treatments, hysterectomy is a life-saving intervention.
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Ankara Üniversitesi Tıp Fakültesi Mecmuası
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Cilt
73
Sayı
3
