Spontaneous Uterine Rupture and Live Fetus in 21th Week of Pregnancy with Hemorrhagic Shock Due to Placenta Percreta: A Case Report

The prevalence of placenta percreta in early stage of pregnancy is very infrequent; nevertheless, it is known as a life-threatening complication. In this report, we introduce a case of massive intra-abdominal hemorrhage associated with placenta percreta and uterine rupture. A 35-year-old woman, gravid 3 para 1, with a previous Cesarean section and complete mole, underwent suction and curettage. She was admitted to emergency department for acute abdominal pain, massive intra-abdominal bleeding and hypovolemic shock. An urgent laparotomy and hysterectomy was performed after resuscitation procedures applied. Uterus-saving procedure was impossible; the middle part of uterus had a perforation in size of 5 millimeters. The patient was discharged on the 4th following day in a stable condition. The pathologic report was placenta accreta.