Abstract

Placenta percreta and uterine rupture are associated with possible massive intraperitoneal bleeding, which can be fatal if not recognised. We describe a case of a 40-year-old multigravida with a history of two instances of placenta percreta and three instances of uterine rupture, previous artificial abortion, and uterine curettage. The patient’s uterus had been preserved after undergoing an emergency uterus repair operation and a scheduled caesarean within 5 years. This case report aimed to contribute to the knowledge of the early diagnosis of placenta percreta and highlights the advantages of uterus preservation, including psychological reasons and the ability to bear children in the future. In summary, it is clear that the steadily increasing rate of deliveries may result in an increased number of abnormal placentation cases. Abnormal placentation is one of the most important risk factors of severe obstetric complications, including perinatal massive haemorrhage. Therefore, prenatal diagnosis and identification of abnormal placentation are vital in order to plan appropriately the date, place, and mode of delivery, as well as to ensure the availability of highly qualified specialists in the field of obstetrics and anaesthesia and ensure availability of a sufficient amount of blood products and blood substitutes.

Key words: Placenta percreta, uterine rupture, pregnancy.