Placenta Percreta in Second Trimester Pregnancy Causing Early Spontaneous Uterine Rupture: A Case Report and Literature Review

Dhanny Primantara Johari Santoso; Annisa Dewi Nugrahani; Anita Rachmawati; Adhi Pribadi; Anita Deborah Anwar; Jusuf Sulaeman Effendi

doi:10.3889/oamjms.2022.10815

Authors

Dhanny Primantara Johari Santoso Department of Obstetrics and Gynaecology, Fetomaternal Division, Faculty of Medicine, Universitas Padjadjaran, Slamet General District Hospital Garut, Bandung, Indonesia
Annisa Dewi Nugrahani Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia https://orcid.org/0000-0002-2200-012X
Anita Rachmawati Department of Obstetrics and Gynaecology, Fertility and Reproductive Endocrinology Division, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Adhi Pribadi Department of Obstetrics and Gynaecology, Fetomaternal Division, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia https://orcid.org/0000-0002-7247-2264
Anita Deborah Anwar Department of Obstetrics and Gynaecology, Fetomaternal Division, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Jusuf Sulaeman Effendi Department of Obstetrics and Gynaecology, Fetomaternal Division, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.10815

Keywords:

Case report, placenta accreta spectrum, uterine rupture

Abstract

BACKGROUND: Uterine rupture following to placenta accreta spectrum disorder such as placenta percreta in second trimester pregnancy is a very rare obstetrical condition. This condition occurs primarily in the third trimester and leads to both fetal and maternal life-threatening complications.

CASE PRESENTATION: We report a 28-year-old woman in 24−25 weeks of gestation with scars from previous cesarean delivery came to emergency department due to acute abdomen following to intraperitoneal hemorrhage. From diagnostic modalities, it was found uterine rupture from the varicose veins of placenta percreta without tears in the uterus. Total hysterectomy was performed with good recovery and histopathology result showed placenta percreta.

CONCLUSION: In spite of being a rare case in second trimester of pregnancy, spontaneous rupture of uterus due to placenta percreta should be considered in the case of a patient with placenta percreta who presents with severe abdominal pain and acute intraperitoneal hemorrhage, even in the second trimester of gestation.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Jansen CH, Kastelein AW, Kleinrouweler CE, van Leeuwen E, de Jong KH, Pajkrt E, et al. Development of placental abnormalities in location and anatomy. Acta Obstet Gynecol Scand. 2020;99(8):983-93. https://doi.org/10.1111/aogs.13834 PMid:32108320 DOI: https://doi.org/10.1111/aogs.13834

Jauniaux E, Chantraine F, Silver RM, Langhoff-Roos J, Diagnosis FP, Panel ME, et al. FIGO consensus guidelines on placenta accreta spectrum disorders: Epidemiology. Int J Gynaecol Obstet. 2018;140(3):265-73. https://doi.org/10.1002/ ijgo.12407 PMid:29405321 DOI: https://doi.org/10.1002/ijgo.12407

Ronen JA, Castaneda K, Sadre SY. Early accreta and uterine rupture in the second trimester. Cureus. 2018;10(7):e2904. https://doi.org/10.7759/cureus.2904 PMid:30186710 DOI: https://doi.org/10.7759/cureus.2904

Ulkumen BA, Pala HG, Baytur Y. Acute abdomen and massive hemorrhage due to placenta percreta leading to spontaneous uterine rupture in the second trimester. Saudi Med J. 2014;35(9):1131-2. PMid:25228189

Allen L, Jauniaux E, Hobson S, Papillon-Smith J, Belfort MA, Diagnosis FP, et al. FIGO consensus guidelines on placenta accreta spectrum disorders: Nonconservative surgical management. Int J Gynaecol Obstet. 2018;140(3):281-90. https://doi.org/10.1002/ijgo.12409 PMid:29405317 DOI: https://doi.org/10.1002/ijgo.12409

Hamisa M, Mashaly E, Fathy S, Tawfeek A. Role of doppler US and MRI in diagnosis of placenta accreta. Alex J Med. 2015;51(3):225-30. https://doi.org/10.1016/j.ajme.2014.09.002 DOI: https://doi.org/10.1016/j.ajme.2014.09.002

Srisajjakul S, Prapaisilp P, Bangchokdee S. Magnetic resonance imaging of placenta accreta spectrum: A step-by-step approach. Korean J Radiol. 2021;22(2):198-212. https://doi.org/10.3348/kjr.2020.0580 PMid:33169550 DOI: https://doi.org/10.3348/kjr.2020.0580

You SH, Chang YL, Yen CF. Rupture of the scarred and unscarred gravid uterus: Outcomes and risk factors analysis. Taiwan J Obstet Gynecol. 2018;57(2):248-54. https://doi.org/10.1016/j.tjog.2018.02.014 PMid:2967366 DOI: https://doi.org/10.1016/j.tjog.2018.02.014

Calì G, D’Antonio F, Forlani F, Timor-Tritsch IE, Palacios Jaraquemada JM. Ultrasound detection of bladder-uterovaginal anastomoses in morbidly adherent placenta. Fetal Diagn Ther. 2017;41(3):239-40. https://doi.org/10.1159/000445055 PMid:27160715 DOI: https://doi.org/10.1159/000445055