Format

Send to

Choose Destination
Obstet Gynecol. 2009 Feb;113(2 Pt 2):512-4. doi: 10.1097/AOG.0b013e318188bece.

Placenta percreta masquerading as an acute abdomen.

Author information

1
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Miami School of Medicine/Jackson Memorial Hospital, Miami, Florida, USA.

Abstract

BACKGROUND:

The incidence of placenta percreta has been on the rise during the past decades, coincident with the increase in cesarean deliveries. The diagnosis of this potentially life-threatening complication is difficult, especially when it masquerades as other severe complications of pregnancy.

CASE:

A woman with one previous cesarean delivery presented at 28 weeks of gestation with right upper quadrant pain. Laparotomy revealed an intraperitoneal hemorrhage from a protrusion of the placenta at the previous uterine incision remote from the site of pain presentation. The fetus was delivered, and a hysterectomy was performed with subsequent good recovery. Pathology confirmed placenta percreta.

CONCLUSION:

The presentation of an acute abdomen with symptoms remote from the site of pathology in the third trimester masked the diagnosis of placenta accreta. When a clear diagnosis cannot be established, operative exploration must be considered.

PMID:
19155939
DOI:
10.1097/AOG.0b013e318188bece
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center