ABSTRACT
Spontaneous uterine rupture in pregnancy is a rare phenomenon especially in the second trimester. When it occurs one has to suspect placenta percreta. Here we had such a case in a 32-year-old lady who had previous caesarean section for fetal distress 7 years ago. Now she got admitted with a history of 4 months of amenorrhea with severe pallor and hypotension. She did not have any uterine contraction before admission, and there is no history suggestive of any interference with the present pregnancy. On opening the abdomen, there was hemoperitoneum and an intact gestational sac was found protruding through the rent at right side of the fundus. Total abdominal hysterectomy was done, and the placenta was found to be placenta percreta, that was confi rmed by histopathological examination.