Placenta percreta with silent rupture of the uterus

Authors

  • Renato Passini Junior Universidade Estadual de Campinas
  • Roxana Knobel Universidade Estadual de Campinas
  • Ricardo Barini Universidade Estadual de Campinas
  • Emílio Marussi Universidade Estadual de Campinas

Keywords:

Placenta accreta, Rupture of the uterus

Abstract

We report a case of placenta percreta diagnosed by ultrasound and color doppler image at the fourteenth week of gestation. Initial approach was a trial of IM methotrexate followed by total hysterectomy, during which was observed a rupture of the uterus with the adherence of the placenta to the posterior region of the bladder. We also present a literature review on the incidence of placenta percreta, etiology, diagnosis, treatment, and complications.

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Author Biographies

Renato Passini Junior, Universidade Estadual de Campinas

College of Medical Sciences, Women's Assistance Center. Universidade Estadual de Campinas, Department of Obstetrics and Gynecology, Campinas, São Paulo, Brazil.

Roxana Knobel, Universidade Estadual de Campinas

College of Medical Sciences, Women's Assistance Center. Universidade Estadual de Campinas, Department of Obstetrics and Gynecology, Campinas, São Paulo, Brazil.

Ricardo Barini, Universidade Estadual de Campinas

College of Medical Sciences, Women's Assistance Center. Universidade Estadual de Campinas, Department of Obstetrics and Gynecology, Campinas, São Paulo, Brazil.

Emílio Marussi, Universidade Estadual de Campinas

College of Medical Sciences, Women's Assistance Center. Universidade Estadual de Campinas, Department of Obstetrics and Gynecology, Campinas, São Paulo, Brazil.

References

Breen JL, Neubecker R, Gregori CA, Franklio JE. Placenta accreta, increta and percreta, a survey of 40 cases. Obstet Gynecol 1977;49:43-6.

Cox SM, Carpenter RJ, Cotton DB. Placenta percreta: Ultrasound diagnosis and conservative surgical management. Obstet Gynecol 1988;71:454-6.

Legro RS, Price FV, Hill LM, Caritis SN. Nonsurgical management of placenta percreta: A case report. Obstet Gynecol 1994;83:847-9.

Read JA, Cotton DB, Miller FC. Placenta accreta: Changing clinical aspects and outcome. Obstet Gynecol 1980;56:31-4.

Kaplan BR, Brandt T, Javaheri G, Scommegna A. Successful treatment of a live cervical pregnancy with mehotexate and folinic acid - a case report. Repro Med 1989: 853-6.

Vettraino I, Graham C, Shyken J, Khodadoust K, Kivikoski A. Placenta percreta: A case of maternal death. Maternal Fetal Medic 1993;2:276-8.

Jaffe R, DuBeshter B, Sherer DM, Thompson EA, woods JR. Failure of metrotexate treatment for term placenta percreta. Am J Obstet Gynecol 1994;August:558-9.

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Published

1996-09-09

How to Cite

1.
Passini Junior R, Knobel R, Barini R, Marussi E. Placenta percreta with silent rupture of the uterus. Sao Paulo Med J [Internet]. 1996 Sep. 9 [cited 2025 Oct. 16];114(5):1270-3. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2040

Issue

Section

Case Report