Second Trimester Placenta Percreta Presenting as Acute Abdomen
Open accessAbstract
Diagnosing placenta percreta can be difficult. We describe a 41-year-old woman presenting at 21 weeks' gestation with intraabdominal bleeding and no signs of placental abnormality on ultrasound. The disagreement between results of the ultrasound and magnetic resonance imaging made definitive diagnosis difficult. The bleeding resolved spontaneously after a blood transfusion, and the patient was hospitalized for the remainder of the pregnancy. Delivery was by scheduled repeat cesarean at 34 weeks' gestation. Spontaneous rupture of the entire fundus occurred at the time of delivery. Placenta percreta was confirmed by histologic examination of the operatively excised uterus.
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Placenta percreta can be associated with major prenatal complications from early in pregnancy, such as uterine rupture and bladder involvement with associated life-threatening haemorrhage.
“Placenta percreta can be associated with major prenatal complications from early in pregnancy, such as uterine rupture [150][151][152] and bladder involvement with associated life-threatening haemorrhage.[153][154][155]”
From Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green‐top Guideline No. 27a (2019) · cites this paper as [151]
The paper’s discussion lists uterine rupture as a complication of placenta percreta and describes potentially life-threatening bleeding in the previable period. Its case description reports bleeding at 21 weeks, but does not report bladder involvement; at delivery, it explicitly notes no invasion of surrounding organs. The bladder-involvement portion is therefore unsupported by this source. (LLM, conf=0.85)
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References 7 · Cited by 10
Research works printed but not linked: 1
- [3]3. O'Brien JM, Barton JR, Donaldson ES. Th e management of placen- ta percreta: conservative and operative strategies. Am J Obstet Gynecol 1996;175(6):1632-1638.
- Authors
- Dew, L., Harris, S., Yost, N., Magee, K., & Deprisco, G.
- Affiliations
- Baylor University Medical Center (US)
- Corresponding author
- Harris, Steven
- Venue
- Baylor University Medical Center Proceedings
- Publisher
- Informa UK Limited
- Published
- 2015-01
- Volume
- 28
- Issue
- 1
- Pages
- 38-40
- ISSN
- 0899-8280 (ISSN-L)
- 1525-3252
- PMC
- PMC4264706
- OpenAlex
- W126354430
- Cited by
- 10
- References
- 7
- Citations by year
- 2022: 2 · 2020: 2 · 2019: 1 · 2018: 3 · 2015: 2
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Baylor University Medical Center Proceedings (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- placenta percreta, second trimester, acute abdomen, intra-abdominal hemorrhage, ultrasonography, magnetic resonance imaging, blood transfusion, repeat cesarean section, uterine rupture, histopathological confirmation, placental abruption
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