October 18th, 2018

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Placenta Accreta (Percreta) at 8 Weeks of Gestation and Hysterectomy at 13 Weeks of Gestation Due to Uterine Rupture: A Rare Case with No History of Cesarean Section: A Case Report
Authors:  Chi-Yuan Liao, M.D., and Fuh-Jinn Luo, M.D.
BACKGROUND: Placenta accreta is rarely diagnosed as early as week 8 of gestation and rarely leads to uterine rupture requiring a hysterectomy. Most affected patients have a history of cesarean section, and a low-lying sac should suggest the possibility of placenta accreta.

CASE: A 33-year-old woman presented at our hospital with a history of 2 dilation and curettage procedures for delayed postpartum hemorrhage. She had no history of cesarean section. Her 8-week ultrasonography revealed abundant flow and several lacunae throughout the surrounding uteroplacental tissue. At week 13 of gestation her uterus ruptured as a result of placenta percreta, and she then received a hysterectomy.

CONCLUSION: Early ultrasound evaluation is recommended for patients who are at risk of placenta accreta. This procedure is not easy, but it is possible.
Keywords:  placenta accreta, placenta percreta, pregnancy complications, uterine rupture
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