Placenta accreta causing uterine rupture in second trimester of pregnancy after in vitro fertilization; a case report

ABSTRACT

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. 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. 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