TY - JOUR T1 - Placenta percreta with painless uterine rupture at the 2nd trimester JF - Saudi Medical Journal JO - Saudi Med J SP - 857 LP - 859 VL - 23 IS - 7 AU - Salah M. Baloul AU - Afaf R. Al-Sayali AU - Amer M. Basha AU - Nusrat J. Gangoo Y1 - 2002/07/01 UR - http://smj.org.sa/content/23/7/857.abstract N2 - 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. ER -