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Forensic Science, Medicine and Pathology

, Volume 15, Issue 4, pp 658–662 | Cite as

Maternal and fetal death at 22 weeks following uterine rupture at the site of the placenta percreta in a C-section scar

  • Lucy M. Bradley
  • Jamil A. K. Addas
  • Jayantha C. HerathEmail author
Images in Forensics

Abstract

Placenta percreta is the abnormal invasion of the placenta through the myometrium and serosa of the uterus. It is the most invasive of the placenta accreta spectrum followed by placenta increta. This paper presents a case of a maternal and fetal death in the second trimester due to rupture of the uterus at the site of placenta percreta in a C-section scar. Postmortem MRI showed a large hemoperitoneum and thinning of the anterolateral uterine wall. Internal examination revealed two liters of blood in the abdomen and rupture of the anterolateral uterine wall at the site of placenta percreta in a previous C-section scar. Placenta percreta is a rare complication of pregnancy, however, it is becoming more common with the increasing rate of C-section, the most common and significant risk factor.

Keywords

Maternal and fetal death Placenta percreta C-section Uterine rupture Post-mortem MRI 

Notes

Acknowledgements

Special thanks to Dr. Michael Pickup, Dawn Thorpe, Jennifer Clement, Maureen Currie, Yolanda Nerkowski, and Andy King for their contributions to post-mortem imaging and photography.

Compliance with ethical standards

Ethical approval

Ethics approval was not required for this case report.

Conflict of interest

The authors declare that they have no conflicts of interest.

Informed consent

Not applicable.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Pathology and Laboratory Medicine, Cumming School of MedicineUniversity of CalgaryCalgaryCanada
  2. 2.Calgary Laboratory ServicesCalgaryCanada
  3. 3.Department of Medical ImagingUniversity of TorontoTorontoCanada
  4. 4.Ontario Forensic Pathology Service, Forensic Services and Coroners ComplexTorontoCanada
  5. 5.Department of PathobiologyTorontoCanada
  6. 6.Laboratory Medicine of University of TorontoTorontoCanada

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