spontaneous uterine rupture and live fetus in 21^th week of pregnancy with hemorrhagic shock due to placenta percreta: a case report

The prevalence of placenta percreta in early stage of pregnancy is very infrequent; nevertheless, it is known as a life-threatening complication. in this report, we introduce a case of massive intra-abdominal hemorrhage associated with placenta percreta and uterine rupture. a 35-year-old woman, gravid 3 para 1, with a previous cesarean section and complete mole, underwent suction and curettage. she was admitted to emergency department for acute abdominal pain, massive intra-abdominal bleeding and hypovolemic shock. an urgent laparotomy and hysterectomy was performed after resuscitation procedures applied. uterus-saving procedure was impossible; the middle part of uterus had a perforation in size of 5 millimeters. the patient was discharged on the 4^th following day in a stable condition. the pathologic report was placenta accreta.