Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report | Vyshka et al. Journal of Medical Case Reports 2010 4 412 http content 4 1 412 WV journalof medical l rCASE REPORTS CASE REPORT Open Access Placenta increta causing hemoperitoneum in the 26th week of pregnancy a case report Gentian Vyshka 1 Nuredin Ọapari2 Elmas Shaqiri3 Abstract Introduction Placenta increta is a serious complication of pregnancy. We describe a case leading to uterine rupture associated with massive intra-abdominal hemorrhage. Case presentation A 34-year-old Caucasian Albanian woman gravida 2 para 1 was admitted to the emergency department of our hospital for acute abdominal pain associated with profound secondary anemia. An anatomopathological diagnosis of placenta increta destruens was made. An urgent hysterectomy was performed after resuscitation procedures applied due to the severe anemia and the abdominal drama accompanying the case. Intra-operatively a uterus-saving procedure was found to be impossible and hysterectomy remained the only surgical option. The uterine structures were sent for further microscopic evaluation. On histological examination deep trophoblastic infiltration of the uterine wall was observed justifying the surgeon s decision. Our patient received blood transfusions and antibiotics. Her sutures were removed on the eighth postoperative day and she was discharged the following day in a stable condition. Conclusion This case describing a patient with uterine rupture and massive hemorrhage illustrates a serious and potentially fatal complication of placenta previa. In such cases surgery is essential and hysterectomy may be the only viable option. Introduction Placenta increta is a serious complication of pregnancy. It is characterized by entire or partial absence of the decidua basalis and by the incomplete development of the fibrinoid Nitabuch s layer. Although it is considered a rare occurrence with a prevalence of approximately 1 in 2500-7000 it is associated with high morbidity and sometimes .
