An Unusual Case of Fundal Placenta Percreta presenting as haemoperitoneum

Dr. Kanan Yelikar; Dr. Daksha Bilagi; Dr. Sanjay Pagare

Volume : IV, Issue : VIII, August - 2015

An Unusual Case of Fundal Placenta Percreta presenting as haemoperitoneum

Dr. Kanan Yelikar, Dr. Daksha Bilagi, Dr. Sanjay Pagare

Abstract :

Morbid adherence of the placenta to the uterine wall is a potentially life threateningobstetric complication that requires interventions such as caesarean hysterectomy and high volume blood transfusion. Here we report a case of second gravida with 8 months amenorrhea with previous caesarean delivery, who presented with acute abdomen with regular fetal heart rate. Ultrasound was suggestive of fundal location of placenta with findings of myometrial invasion with presence of moderate free fluidin abdomen. On emergency laparotomy there was haemoperitoneum and previous uterine scar was intact. Lower segment caesarean section was performed. After exteriorizing uterus, fundal vascular placenta with myometrial thinning with rupture of uterus at the fundus was seen. Subtotal Obstetric hysterectomy was performed with placenta in situ. In cases of normally situated placenta presenting with acute abdomen, with no obvious predisposing factor, high index of suspicion is required for the early diagnosis and management of fundal placenta percreta causing haemoperitoneum.