Spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after <i>in vitro</i> fertilization

Medel, Jorge Martínez; Mateo, Sergio Castán; Conde, César Rodrigo; Esqué, Ana Cristina Cabistany; Mitchell, Maria José Rios

doi:10.1111/j.1447-0756.2009.01082.x

Cited by 26 publications

(15 citation statements)

References 12 publications

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“…Patient 2 ' s request for termination of pregnancy was accepted by the Ethics Committee, in light of the extensive placental infi ltration, which was likely to deteriorate further with advancing pregnancy. Notably, several cases of uterine rupture and massive hemorrhaging have been reported for placenta percreta diagnosed at the beginning of the second trimester [3,12,14] .…”

Section: Discussionmentioning

confidence: 99%

Individual decisions in placenta increta and percreta: a case series

Chantraine

Nisolle

Petit

et al. 2012

Jpme

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Objective: Placenta increta or percreta is an uncommon pathology, sometimes associated with high maternal morbidity. Its prevalence increases proportionally to the number of cesarean sections. This study analyzed the changes of our management strategy to devise treatment guidelines for this uncommon disorder. Materials and methodology: Between 2005 and 2011, 10 cases of placenta increta or percreta were managed at our university hospital maternity department. Results: Among the 10 cases, seven were diagnosed prenatally. Two patients were diagnosed early, at 14 and 17 weeks of gestational age, and their pregnancies were terminated. Five had hysterectomies during the intrapartum period, and despite attempted conservative treatment for the two others, hysterectomy proved necessary 2 months postpartum because of intrauterine infections. Seven of the 10 women had hysterectomies. Conclusion: Prenatal diagnosis of placenta increta or percreta is essential to plan the delivery in a competent tertiary care center. The decision to perform a cesarean hysterectomy or leave the placenta in situ for spontaneous delivery is based on the extent of infi ltration, the patient ' s hemodynamic status, and her desire to remain fertile. The high-risk of infection and severe hemorrhage must not be overlooked should conservative treatment be chosen. This situation requires prolonged close monitoring.

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Section: Discussionmentioning

confidence: 99%

Individual decisions in placenta increta and percreta: a case series

Chantraine

Nisolle

Petit

et al. 2012

Jpme

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“…A few isolated cases of placenta percreta with early uterine rupture that presented as an acute obstetrical emergency were also reported in previous studies (8)(9)(10)(11). Hanif et al presented a case of placenta percreta in which placental tissue was protruding through a bleeding previous cesarean scar at 12 weeks gestation.…”

Section: Discussionmentioning

confidence: 92%

Spontaneous Uterine Rupture due to Placenta Percreta in Second Trimester of Pregnancy: A Case Report

2016

GMJ

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Spontaneous uterine rupture due to placenta percreta in the second trimester is extremely rare and difficult to manage. A 26-year old pregnant woman at 27 gestational weeks with a history of two previous cesarean sections admitted to our center because of abdominal pain and vaginal bleeding. Ultrasound examination revealed placenta previa with moderate amount of intraperitoneal fluid. The border between myometrium and placenta was not differentiated. Paracentesis under ultrasound guidance showed bloody fluid. On emergency laparotomy, there was 1500 ml of blood in the peritoneal cavity and placenta was protruding through a bleeding full thickness uterine defect. Hemorrhage was controlled by transfusion of blood products and conservative surgery. The patient was discharged on the 3th day after surgery without complications. Placenta percreta induced spontaneous uterine rupture should be taken into consideration in pregnant women who have abdominal pain and intraperitoneal fluid. ÖZETGebeliğin ikinci trimesterinde plasenta perkreta nedenli spontan uterus rüptürü çok nadirdir ve yönetimi zordur. Yirmiyedinci gebelik haftasında iki kez geçirilmiş sezaryenle doğum öyküsü olan 26 yaşındaki gebe bir kadın merkezimize abdominal ağrı ve vajinal kanama nedeniyle başvurdu. Ultrasonografi incelemesinde periton içi sıvıyla birlikte plasenta previa belirlendi. Myometrium ve plasenta arasındaki sınır ayırt edilemedi. Ultrasonografi eşliğinde yapılan parasentezle kanlı sıvı gösterildi. Acil laparotomi ile peritoneal kavite içerisinde 1500ml kan saptandı ve plasenta kanamalı tam katlı uterus defektinden protrüze haldeydi. Kan ürünlerinin transfüzyonu ve konservatif cerrahi ile kanama kontrol altına alındı. Hasta operasyondan sonraki üçüncü günde herhangi bir komplikasyon gelişmeden taburcu edildi. Plasenta perkretanın neden olduğu spontan uterus rüptürü abdominal ağrısı ve periton içi sıvısı bulunan gebe kadınlarda göz önünde bulundurulmalıdır.Anahtar Sözcükler: Abdominal ağrı, plasenta perkreta, spontan uterus rüptürü Geliş Tarihi:

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“…Possible causes of uterine rupture in the latter group include e.g. abnormal placentation or interstitial pregnancy defined as ectopic gestation, in which an embryo implants outside of the uterine cavity within the cornual portion of the fallopian tube [11,12,13,14,15,16,17,18,19]. Labor induction with prostaglandins or oxytocin, fetal malpresentation, labor dystocia, delivery after ≥42 gestational weeks, fetal birth weight ≥4,000 g or advanced maternal age constitute other factors responsible for increased risk of uterine rupture [1,2,3].…”

Section: Resultsmentioning

confidence: 99%

Spontaneous Rupture of the Pregnant Uterus following Salpingectomy: A Literature Review

Stanirowski

Trojanowski

Słomka

et al. 2015

Gynecol Obstet Invest

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Background: Spontaneous rupture of the uterus is a life-threatening obstetric complication in rare cases associated with previously performed salpingectomy. Aim: This paper presents an analysis of uterine rupture cases during pregnancy in patients after surgical removal of the fallopian tubes. Methods: The English and Polish language literature was reviewed for studies published between January 1, 1980 and September 30, 2014 to identify articles that described rupture of the uterus in women with a previous history of salpingectomy. Results: Thirteen case reports and case series studies in 18 women were identified. 33% of cases of uterine rupture following salpingectomy occurred during intrauterine pregnancy, whereas the rest was associated with interstitial ectopic pregnancy. Laparoscopic salpingectomy more often resulted in rupture of the uterus during non-ectopic pregnancy as compared to laparotomy (4 vs. 2 cases, respectively). When interstitial pregnancies were excluded, uterine rupture was a cause of fetal death in 67% of reported gestations. There were no cases of maternal mortality. Conservative treatment was the preferred management option, and total hysterectomy was performed in only 2 patients. Conclusion: Particular attention should be paid to patients with a previous history of salpingectomy due to the risk of uterine rupture throughout the entire pregnancy.

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Spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization

Cited by 26 publications

References 12 publications

Individual decisions in placenta increta and percreta: a case series

Individual decisions in placenta increta and percreta: a case series

Spontaneous Uterine Rupture due to Placenta Percreta in Second Trimester of Pregnancy: A Case Report

Spontaneous Rupture of the Pregnant Uterus following Salpingectomy: A Literature Review

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