Placenta increta/percreta associated with uterine perforation during therapy for fetal death. A case report
Carlton, S.M.; Zahn, C.M.; Kendall, B.S.; Natarajan, S.
Journal of Reproductive Medicine 46(6): 601-605
2001
ISSN/ISBN: 0024-7758 PMID: 11441688 Document Number: 540540
BACKGROUND: Placenta accreta involves abnormal adherence of the placenta to the myometrium. Placenta increta and percreta are defined by the degree of trophoblastic penetration of the myometrium. These conditions are rarely observed in the first trimester; placenta increta and percreta are exceptionally infrequent. CASE: A woman had a uterine perforation after suction curettage for fetal death at 11 weeks' gestation, requiring hysterectomy for control of a profuse hemorrhage. Histopathologic examination of the uterus revealed placenta increta involving the lower uterine segment and placenta percreta at the site of uterine perforation. CONCLUSION: This is the first report of placenta percreta associated with uterine perforation during therapy for first-trimester fetal death.