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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 03

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Ginecol Obstet Mex 2022; 90 (03)

Uterine rupture by placenta percreta in the third quarter of pregnancy: case report

Soni-Trinidad C, Rivera-López MF, Soni-Trinidad B, Hernández-Cartagena JF, Velasco-Cárdenas DF, Soni-Trinidad M

Language: Spanish
References: 17
Page: 294-299
PDF size: 199.05 Kb.


ABSTRACT

Background: Placenta percreta is the rarest and most invasive form of accreta placenta spectrum disorders, accounts for 5% of these cases, and concentrates the highest maternal and perinatal morbidity and mortality, in addition to being the main cause of uterine rupture, due to This diagnosis and early attention are decisive. Ultrasound has become the essential and choice tool to identify women at high risk of placental accreta.
Clinical case:Patient with a pregnancy of 32.5 weeks of gestation is admitted to the emergency department with suggestive signs of hypovolemic shock and unconscious, an emergency body caesarean section was performed with abdominal hysterectomy and left salpingooferectomy due to uterine rupture at the level of the left horn with partial exposure of placental appearance Percreta with exit of villi, lacerations in intestine and a total bleeding of 3500 mL. Thanks to the appropriate and timely action of the staff, a unique live product of the female sex was obtained and safeguard the life of the mother.
Conclusions: The importance of having highly trained staff who act quickly in this kind of medical emergency, in addition to having a blood bank and an intensive care unit makes possible a complete and quality medical care that meets the needs of the population


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