Author/Authors :
Dahiya, Priya Akanksha IVF Center - Mata Chanan Devi Hospital, Janak Puri, New Delhi, India , Nayar, Kanad D Akanksha IVF Center - Mata Chanan Devi Hospital, Janak Puri, New Delhi, India , Gulati, Amar J.S Department of General Surgery - Mata Chanan Devi Hospital, Janak Puri, New Delhi, India , Dahiya, Kiran Department of Biochemistry - Pt. B. D. Sharma Post Graduale Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India
Abstract :
Background: Placenta accreta is a rare obstetrical condition that mainly occurs in
the third trimester leading to life-threatening complications. Hereby, a case of uterine
rupture due to placenta accreta occuring in the second trimester is presented.
Case Presentation: A forty-year old patient who conceived after in vitro fertilization
treatment (oocyte donation and embryo transfer) presented in emergency department
in the nineteen weeks of gestation with acute abdominal pain, heamoperitoneum
and fetal death. Emergency laprotomy showed uterine rupture along with
placenta accreta for which the patient underwent subtotal hysterectomy.
Conclusion: Although, an uncommon occurrence, physicians in assisted reproductive
techniques (ART) clinics should consider placenta accreta in gravid patients who
present with acute abdominal pain and shock, considering the fact that they usually
have associated high risk factors for abnormal placentation.
Keywords :
IVF , Placenta accreta , Second trimester pregnancy , Uterine rupture
