Placenta percreta masquerading as an acute abdomen

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

Research output: Contribution to journalArticle

9 Citations (Scopus)

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

Fingerprint

Placenta Accreta
Acute Abdomen
Pathology
Pain
Pregnancy Complications
Third Pregnancy Trimester
Hysterectomy
Laparotomy
Placenta
Fetus
Hemorrhage
Pregnancy
Incidence

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

Placenta percreta masquerading as an acute abdomen. / Roca, Luis E.; Hoffman, M. Camille; Gaitan, Lucia F.; Burkett, Gene.

In: Obstetrics and Gynecology, Vol. 113, No. 2 PART 2, 01.02.2009, p. 512-514.

Research output: Contribution to journalArticle

Roca, LE, Hoffman, MC, Gaitan, LF & Burkett, G 2009, 'Placenta percreta masquerading as an acute abdomen', Obstetrics and Gynecology, vol. 113, no. 2 PART 2, pp. 512-514. https://doi.org/10.1097/AOG.0b013e318188bece
Roca LE, Hoffman MC, Gaitan LF, Burkett G. Placenta percreta masquerading as an acute abdomen. Obstetrics and Gynecology. 2009 Feb 1;113(2 PART 2):512-514. https://doi.org/10.1097/AOG.0b013e318188bece
Roca, Luis E. ; Hoffman, M. Camille ; Gaitan, Lucia F. ; Burkett, Gene. / Placenta percreta masquerading as an acute abdomen. In: Obstetrics and Gynecology. 2009 ; Vol. 113, No. 2 PART 2. pp. 512-514.
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