PT  - JOURNAL ARTICLE
AU  - Baloul, Salah M.
AU  - Al-Sayali, Afaf R.
AU  - Basha, Amer M.
AU  - Gangoo, Nusrat J.
TI  - Placenta percreta with painless uterine rupture at the 2nd trimester
DP  - 2002 Jul 01
TA  - Saudi Medical Journal
PG  - 857--859
VI  - 23
IP  - 7
4099  - http://smj.org.sa/content/23/7/857.short
4100  - http://smj.org.sa/content/23/7/857.full
SO  - Saudi Med J2002 Jul 01; 23
AB  - A pregnant lady at 27 weeks and 2 days gestation with a known placenta previa major and a history of previous lower segment cesarean section had a sudden severe painless vaginal bleeding. At laparotomy a uterine rupture was noted, no hemoperitoneum found and placenta percreta was diagnosed. This is the first case reported in the Kingdom of Saudi Arabia, it is rare, only 3 cases of silent or asymptomatic uterine rupture secondary to placenta percreta were reported in the literature in the last 30-years. Non-invasive methods could help in the diagnosis or increase suspicion of placenta percreta, therefore, proper management could be arranged through a multi-disciplinary team.