Document Detail


Spontaneous rupture of primigravid uterus due to morbidly adherent placenta.
MedLine Citation:
PMID:  19889274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Morbidly adherent placenta in a nulliparous woman is a rare phenomenon. An unusual case of a 20 years old primigravida presented in emergency with unstable haemodynamics and abdominal pain at 17 weeks of gestation is reported. She was found to have complete placental invasion and haemoperitoneum on laparotomy. Although there is an increased risk of placental invasion (increta and percreta) causing uterine rupture in previous cesareans but morbid adhesion resulting in placenta percreta without previous uterine surgery is a rarity. Exact pathogenesis is still unknown. Prenatal diagnosis with the help of Doppler ultrasound and MRI is important to reduce both fetal and maternal morbidity and mortality.
Authors:
Afia Ansar; Nosheen Rauf; Khadija Bano; Nagina Liaquat
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  19     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  732-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaeocology, Jinnah Postgraduate Medical Centre, Karachi. afiajpmc@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Placenta Accreta* / diagnosis
Pregnancy
Pregnancy Trimester, Second
Uterine Rupture / etiology*
Young Adult

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