Second-trimester presentation of placenta percreta.

  title={Second-trimester presentation of placenta percreta.},
  author={Gerda Geertruida Zeeman and Alex Allaire and Phillip Whitecar and Kenneth J. Moise},
  journal={American journal of perinatology},
  volume={16 9},
Placenta percreta is diagnosed usually in the third trimester as massive postpartum hemorrhage when an attempt to remove the placenta reveals lack of a cleavage plane. However, placenta percreta may present in the second trimester with signs and symptoms of uterine rupture. The diagnosis of this event may be difficult because of mild abdominal discomfort often associated with normal pregnancy. We describe two cases that occurred in the second trimester with an unusual presentation. Both… CONTINUE READING

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