Incidence of adherent
placenta is on the rise nowadays due to various reasons.
Placenta percreta is seen in 5-7% of cases with adherent
placenta,
patients with
morbidly adherent placenta are at increased
risk for major obstetric
hemorrhage, usually in the
third trimester. Here we present an unusual case of
placenta percreta presenting with obstetric
emergency after
trauma to
abdomen in the
second trimester.
Emergency exploratory
laparotomy was done for
abruptio placentae with
scar dehiscence at 20 weeks period of
gestation. Consent for obstetric
hysterectomy, if needed, was also taken. Intraoperatively, the
placenta was found to be adherent to posterior wall of
bladder.
Emergency obstetric
hysterectomy with bilateral internal iliac
ligation with
cystoscopy with detrusorrhaphy was done.
Patient had an uneventful recovery. Multidisciplinary management with
obstetricians,
urologists and intensivist is presented hereed.