Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Jan 24;9(3):1587-1590.
doi: 10.1002/ccr3.3851. eCollection 2021 Mar.

Postpartum unscarred uterine rupture caused by placenta accreta: A case report and literature review

Jun Okaniwa  1 , Daisuke Higeta  1 , Takashi Kameda  1 , Yosuke Uchiyama  1 , Maki Inoue  1 , Akira Iwase  1
Affiliations
Case Reports

Postpartum unscarred uterine rupture caused by placenta accreta: A case report and literature review

Jun Okaniwa et al. Clin Case Rep. .

Abstract

Our case and the literature review suggest that placenta accreta spectrum, with use of uterotonics and manual removal of placenta, could be risk factors for postpartum unscarred uterine rupture.

Keywords: placenta accreta; postpartum; retained placenta; unscarred uterine rupture; uterotonics.

PubMed Disclaimer

Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Sagittal (left) and coronal (right) CT images with contrast enhancement revealed thinning of the muscular wall, suggesting placental adhesion (arrows)
FIGURE 2
FIGURE 2
(A) Sagittal (left) and coronal (right) CT images with contrast enhancement revealed intraperitoneal bleeding and thus suspected uterine rupture (arrows). (B) Laparotomy findings. Ruptured wound on the uterine fundus and placenta thorough the wound (arrow). Uterine muscular wall was thinned around the ruptured wound
See this image and copyright information in PMC

References

    1. You SH, Chang YL, Yen CF. Rupture of the scarred and unscarred gravid uterus: Outcomes and risk factors analysis. Taiwan J Obstet Gynecol. 2018;57:248‐254. - PubMed
    1. Sturzenegger K, Schaffer L, Zimmermann R, et al. Risk factors of uterine rupture with a special interest to uterine fundal pressure. J Perinat Med. 2017;45:309‐313. - PubMed
    1. Ofir K, Sheiner E, Levy A, et al. Uterine rupture: differences between a scarred and an unscarred uterus. Am J Obstet Gynecol. 2004;191:425‐429. - PubMed
    1. Ozdemir A, Ertas IE, Gungorduk K, et al. Uterine preservation in placenta percreta complicated by unscarred uterine rupture at second trimester in a patient with repeated molar pregnancies: a case report and brief review of the literature. Clin Exp Obstet Gynecol. 2014;41:590‐592. - PubMed
    1. Gibbins KJ, Weber T, Holmgren CM, et al. Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. Am J Obstet Gynecol. 2015;213(382):e1‐e6. - PubMed

Publication types

LinkOut - more resources