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Review
. 2023 Aug;115(4):232-236.
doi: 10.32074/1591-951X-882.

Antepartum unscarred uterine rupture caused by placenta percreta: a case report and literature review

Eleonora Nardi #  1 , Viola Seravalli #  2 , Isabella Abati  2 , Francesca Castiglione  1 , Mariarosaria Di Tommaso  1
Affiliations
Review

Antepartum unscarred uterine rupture caused by placenta percreta: a case report and literature review

Eleonora Nardi et al. Pathologica. 2023 Aug.

Abstract

The main risk for uterine rupture is the presence of a uterine scar due to prior cesarean delivery or other uterine surgery. However, rupture in an unscarred uterus is extremely rare, and risk factors include multiple gestations, trauma, congenital anomalies, use of uterotonics and placenta accreta spectrum.

Placenta accreta spectrum, also known as morbidly adherent placenta, is becoming increasingly common and is associated with significant maternal and neonatal morbidity and mortality.

We report a case of unscarred uterine rupture due to placenta percreta in a multiparous woman that required emergency peripartum hysterectomy.

Keywords: hysterectomy; maternal morbidity; placenta percreta; unscarred uterine rupture.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
(A-B) Infiltration of the villar structures in the myometrium (A H&E 4x; B H&E 20x).
Figure 2.
Figure 2.
(C-D) Infiltration of the villar structures in the uterine serosa (C H&E 4x; D H&E 20x).
See this image and copyright information in PMC

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