Spontaneous Uterine Rupture at The 13th Weeks of Gestation Caused by Placenta Percreata: A Case Report
Journal Title: Journal of Ankara University Faculty of Medicine - Year 2020, Vol 73, Issue 3
Abstract
To describe the management of a ruptured uterus caused by placenta percreta at the 13th week of gestation. Spontaneous rupture of the non-laboring uterus is a relatively rare occurrence in obstetrics. It is associated with massive intra-peritoneal bleeding which can be mortal if not recognized. A 33-year-old patient presented with severe abdominal pain at the 13th week of gestation at the emergency service of Health Sciences University Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey. The patient’s ultrasonography revealed free fluid in the abdomen, placenta previa and anomaly in the fetus. Magnetic resonance imaging (MRI) was performed for differential diagnosis of free fluid. MRI showed hematoma between the bladder and uterus. After the signs of hypovolemic shock developed, we performed an immediate laparotomy and a ruptured uterus was detected. The fetus was removed and a hysterectomy was performed. Pathology results showed placenta percreta. After a few days in hospital and transfusion of 5 liters of blood, the patient was discharged in a healthy condition. In a pregnant woman with severe abdominal pain, even in the 13th week of gestation, a placenta acreta has to be considered as a differential diagnosis. If there is no benefit of the other treatments, hysterectomy is a life-saving intervention.
Authors and Affiliations
Erdal Şeker, Evindar Elçi, Nilgün Söğütçü
Anxiety Levels and Effects on Patient Healing in Patients with Spinal Trauma Diagnosis in Clinic of Neurosurgery
Objectives: In diseases that develop suddenly in the course of normal life, require surgical treatment, psychological problems frequently develop right along with physiological balance disorders. These problems negativel...
A New Trick for Percutaneous Tracheostomy in Children
Objectives: Pediatric tracheostomy has undergone notable changes and percutaneous tracheostomy (PT) has taken place of surgical tracheostomy. The aim of this study is to show a facilitation in a previously described tech...
The Relationship Between Short-term Memory And Fasting Blood Glucose
Objectives: This study aimed to correlate cognitive functions with fasting blood glucose through cognitive tests in young adults whose fasting blood glucose within the normal range. Materials and Methods: Study accompli...
Acute Mesenteric Ischemia and Splenic Infarct After Coronary Bypass Surgery: An Analysis of 32 Patients
Objectives: Acute mesenteric ischemia and other end organ emboli are serious life-threatening complications after open-heart surgery. In this study, we evaluated the outcome of patients with mesenteric ischemia and splen...
Comparison of Mean Platelet Volume at Admission in Subtypes of Acute Myocardial Infarction
Objectives: Thrombus by the activated platelets and reduced blood flow of myocardium as a result of the thrombus lies under the pathophysiology of acute myocardial infarction (MI). Mean platelet volume (MPV) is known to...