Spontaneous uterine rupture at a non-cesarean section scar site caused by placenta percreta in the early second trimester of gestation: A case report

Hou, Jung-Hsiu; Lee, Tung-Heng; Wang, Shengyuan; Lai, Hung-Chung; Mao, Shih-Peng

doi:10.1016/j.tjog.2021.05.037

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…The placental abnormality was associated with a high hysterectomy rate and massive hemorrhage. Our study reported a high frequency of placenta accreta, in contrast to the previous study (Hou et al, 2021). In this study, women had a history of previous C-sections and coexisting placenta praevia.…”

Section: Discussioncontrasting

confidence: 87%

The Risk of Placenta Accreta Following Primary Elective Caesarean Delivery

QURESHI

Anwar

Razzaq³

et al. 2023

Biol Clin Sci Res J

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The retrospective study was conducted in Gynecology Department, Nishtar Medical Hospital, to assess the risk of placenta accrete after the primary (first) emergency or elective c-section. The study was conducted on data from women with placenta accreta who underwent primary C-sections from 2017 to 2020. Analysis was done through variably matched sets. Data on cases and controls was extracted from hospital records. There were 70 women in the study group and 115 in the control group. Results showed that of 70 cases, 40 (57.1%) had placenta accreta, 16(22.8%) had placenta increta, and 14 (20%) had placenta percreta. A significantly higher number of cases than controls had primary elective c section (P<.001). The elective C-section had a significantly higher risk of subsequent placenta accreta than the emergency C-section (P=0.025). Thus, it was concluded that the primary elective C-section modifies the risk of subsequent placenta accreta.

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Section: Discussioncontrasting

confidence: 87%

The Risk of Placenta Accreta Following Primary Elective Caesarean Delivery

QURESHI

Anwar

Razzaq³

et al. 2023

Biol Clin Sci Res J

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“…In addition to prior uterine surgery, 9 , 19 uterine rupture has been reported in women with uterine anomalies 17 , 22 and abnormal placentation. 23 , 24 Uterine rupture was also linked to uterine adenomyosis, 25 dilatation and curettage, 26 , 27 and maternal connective tissue disease, specifically Ehlers-Danlos syndrome. 28 Labor induction with misoprostol 11 , 29 and labor augmentation with oxytocin 30 were linked to uterine rupture in unscarred women.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Unscarred Uterus in a Term Primagravida with Lethal Skeletal Dysplasia Fetus (Thanatophoric dysplasia). A Case Report and Review of the Literature

Hussein¹,

Omar²,

Hassan³

et al. 2022

IMCRJ

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Background and Importance Spontaneous uterine rupture, especially in an unscarred uterus, is a rare pregnancy complication that can cause severe morbidity and mortality in both the mother and the fetus. The vast majority of uterine ruptures occur in the presence of a previous uterine scar, most commonly from a previous cesarean delivery. To our knowledge, here we reported the first case of spontaneous rupture of unscarred uterus in a term primigravida secondary to lethal skeletal dysplasia fetus (Type 1 Thanatophoric dysplasia) faced by a practicing clinician in an underdeveloped country (Somalia) with a successful outcome. Case Presentation The patient was 24 yrs. Old Primagravida, at 40 weeks gestation by LMP, presented with abdominal pain and active vaginal bleeding; she did not receive antenatal care during pregnancy; after initial abdominal ultrasonography and vaginal examination, laparotomy was performed due to high suspicion of uterine rupture. After dead fresh fetal extraction, the uterine defect was repaired successfully, and the patient was discharged home in good condition after several days. Conclusion Through this case, we would like to highlight the urgent need to focus on and recognize the importance of receiving antenatal care in the community so that the burden of thousands of lives lost each year can be reduced.

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“…Abnormal placentation can be classified as placenta accreta, increta or placenta percreta, depending on the extent of myometrial invasion. In placenta percreta, the chorionic villi completely penetrate the uterus to invade the serosa and beyond [3] .…”

Section: Discussionmentioning

confidence: 99%