Placenta percreta masquerading as an acute abdomen

Luis E. Roca, M. Camille Hoffman, Lucia F. Gaitan, Gene Burkett

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Abstract

Background: The incidence of placenta percreta has been on the rise during the past decades, coincident with the increase in cesarean deliveries. The diagnosis of this potentially life-threatening complication is difficult, especially when it masquerades as other severe complications of pregnancy. Case: A woman with one previous cesarean delivery presented at 28 weeks of gestation with right upper quadrant pain. Laparotomy revealed an intraperitoneal hemorrhage from a protrusion of the placenta at the previous uterine incision remote from the site of pain presentation. The fetus was delivered, and a hysterectomy was performed with subsequent good recovery. Pathology confirmed placenta percreta. Conclusion: The presentation of an acute abdomen with symptoms remote from the site of pathology in the third trimester masked the diagnosis of placenta accreta. When a clear diagnosis cannot be established, operative exploration must be considered.

Original languageEnglish (US)
Pages (from-to)512-514
Number of pages3
JournalObstetrics and gynecology
Volume113
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2009

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Roca, L. E., Hoffman, M. C., Gaitan, L. F., & Burkett, G. (2009). Placenta percreta masquerading as an acute abdomen. Obstetrics and gynecology, 113(2 PART 2), 512-514. https://doi.org/10.1097/AOG.0b013e318188bece