Une étiologie particulière de perforation utérine spontanée au deuxième trimestre de grossesse : le placenta percreta

Ble, R. Konan; Adjoussou, S.; Doukouré, Brahima; Gallot, Denis; Olou, N.; Akpadza, Koffi; Fanny, Mohamed; Koné, M.

doi:10.1016/j.gyobfe.2010.08.004

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…6,7 The literature also includes cases involving rupture of a uterine artery aneurysm 8 or an unscarred uterus, 9 especially in women with endometriosis 10 or placentation abnormalities (such as placenta percreta). 11,12 In this case report, the context and clinical picture at admission did not suggest placental abruption. Only the ultrasound examination revealed the presence of an intrauterine hematoma, and nothing about its appearance suggested placental abruption.…”

Section: Discussionmentioning

confidence: 56%

Placental Abruption Revealed by Hemoperitoneum: A Case Report

Bertholdt

Vincent-Rohfritsch

Tsatsaris

et al. 2016

AJP Rep

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Background Hemoperitoneum is a life-threatening surgical emergency. Diagnosis of the cause is often difficult, in particular, during pregnancy when it may be either obstetric or nonobstetric. Case We report the case of a hemoperitoneum caused by the backflow of blood through a uterine tube, due to placental abruption. Conclusion Hemoperitoneum in pregnant women with no other signs can reveal placental abruption. The difficulty in identifying the cause may delay appropriate management.

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Section: Discussionmentioning

confidence: 56%

Placental Abruption Revealed by Hemoperitoneum: A Case Report

Bertholdt

Vincent-Rohfritsch

Tsatsaris

et al. 2016

AJP Rep

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“…Moreover, no evidence of endometriosis was found during the laparotomy, and adenomyosis was excluded by histopathological examination of the excised uterus. In this case, the placenta was located in the anterior abdominal wall; thus, a relationship between the placenta and the defect can easily be excluded [ 11 ]. The patient is generally healthy, and her family history is negative for muscle diseases.…”

Section: Discussionmentioning

confidence: 99%

“…The causes of these cases can be divided into placental, uterine and vascular causes. Placenta percreta is a rare placental abnormality that can cause severe complications, such as hemoperitoneum [ 11 ]. Placental abruption is not a cause of hemoperitoneum in the absence of uterine rupture.…”

Section: Introductionmentioning

confidence: 99%

Hemoperitoneum in a patient with spontaneous rupture of the posterior wall of an unscarred uterus in the second trimester of pregnancy

et al. 2015

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BackgroundHemoperitoneum resulting from a rupture of an unscarred uterus is a rare condition. Uterine rupture in patients without evident risk factors is associated with non-specific signs and symptoms that can delay the diagnosis. This is a report of spontaneous rupture of posterior wall of the uterus in the second trimester of pregnancy presented as intra-abdominal bleeding.Case presentationHere, we report the case of a 31-year-old Caucasian multiparous female (gravida 3, para 1) who had a sudden onset of abdominal pain at 28 weeks of gestation. The patient had no history of caesarean section. Exploratory laparotomy was performed due to deterioration of the patient’s clinical condition, and ultrasound results were suspicious for hemoperitoneum. Uterine rupture in the posterior wall with active bleeding from the defect was confirmed. A caesarean section was performed, and a live female infant weighing 1000 g, with an Apgar score of three, was delivered. A hysterectomy was performed during the caesarean section.ConclusionDiagnostic difficulties arise from the rarity of the disease, a nonspecific clinical picture and the absence of the main risk factors. Uterine rupture should be considered in the differential diagnosis of hemoperitoneum in patients with an unscarred uterus.

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