Placenta Accreta Causing Uterine Rupture in Second Trimester of Pregnancy after in vitro Fertilization: A Case Report

Background: placenta accreta is a rare obstetrical condition that mainly occurs in the third trimester leading to life-threatening complications. hereby, a case of uterine rupture due to placenta accreta occuring in the second trimester is presented. case presentation: a forty-year old patient who conceived after in vitro fertil- ization treatment (oocyte donation and embryo transfer) presented in emergency de- partment in the nineteen weeks of gestation with acute abdominal pain, heamoperi- toneum and fetal death. emergency laprotomy showed uterine rupture along with placenta accreta for which the patient underwent subtotal hysterectomy. conclusion: although, an uncommon occurrence, physicians in assisted reproduct- ive techniques (art) clinics should consider placenta accreta in gravid patients who present with acute abdominal pain and shock, considering the fact that they usually have associated high risk factors for abnormal placentation.