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Volume 3
Journal of Reproductive Biology and Endocrinology
WCGO2019
May 13-14 , 2019
Gynecology and Obstetrics
May 13-14 , 2019 Tokyo, Japan
2
nd
World Congress on
Placenta percreta induced third trimester uterine rupture in an unscarred uterus: A
diagnostic dilemma
Samantha Quennie Wanasen-Razon
FEU-NRMF Medical Center, Philippines
C
ases of uterine rupture induced by placenta percreta in an unscarred uterus are rare. This is a case of
30-year-old, Gravida 2 Para 1 (1001) PregnancyUterine 31Weeks and 2 days age of gestationwith persistent
generalized abdominal pain found out to have uterine rupture secondary to placenta percreta. This paper aims
to discuss the differential diagnoses for cases of third trimester abdominal pain, the appropriate diagnostic
modalities and the best management for such case. Uterine rupture should be considered in the differential
diagnosis in all pregnant women who present with acute abdomen even if there are no risk factors. Exploratory
laparotomy was done to investigate the cause of the patient’s severe abdominal pain on top of intrauterine fetal
bradycardia. During the procedure, uterine rupture with massive bleeding was detected; therefore, subtotal
abdominal hysterectomy was performed. The patient was discharged without any complications. Pathological
analysis of the uterine specimen revealed placenta percreta to be the cause of the rupture.
Samwanasenrazon@gmail.comJ Reprod Biol Endocrinol, Volume 3