Placenta increta presenting as postabortal uterine mass and hemoperitoneum in the first trimester: A case report.

Moon, Jeong Min; Lim, Hee Sun; Kim, Jong Ok; Park, Eun Kyung; Lee, Yong Seok; Lee, Hae Nam

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(3):344-349.
Published online March 1, 2008.

Placenta increta presenting as postabortal uterine mass and hemoperitoneum in the first trimester: A case report.

Jeong Min Moon, Hee Sun Lim, Jong Ok Kim, Eun Kyung Park, Yong Seok Lee, Hae Nam Lee

¹Department of Obstetrics and Gynecology, Catholic University Medical College, Seoul, Korea. leehaenam@catholic.ac.kr
²Department of Pathology, Catholic University Medical College, Seoul, Korea.

Abstract

Placenta increta is one of lethal complications of pregnancy characterized by invasion of placenta villi into the underlying myometrium and usually presented in early postpartum period with difficult placental removal and massive bleeding. Placenta increta may complicate first and early second-trimester pregnancy loss causing profuse post-curettage hemorrhage but the lesion is rarely found and hard to diagnose. We experienced a case of hemoperitoneum caused by implanted chorionic villi on the uterine serosa regurged from uterine cavity, 6weeks after artificial abortion at gestational age of 5 weeks and 5 days.

Key Words: Placenta increta, Dilatation and curettage, First trimester, Hemoperitoneum, Uterine mass