Abdominal pain and hemoperitoneum in the gravid patient: a case report of placenta percreta

Am J Emerg Med. 1996 Jan;14(1):45-7. doi: 10.1016/S0735-6757(96)90013-3.


A 24-year-old woman, G4P3 at 14 weeks gestation, presented to the ED with acute abdominal pain, hemoperitoneum, and fetal demise. Emergent laparotomy showed placenta percreta, requiring hysterotomy for delivery of the fetus and gestational sac followed by oversewing of the uterine defect. Although an uncommon occurrence, clinicians should consider placenta percreta in the gravid patient who presents with acute abdominal pain and shock.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology*
  • Acute Disease
  • Adult
  • Diagnosis, Differential
  • Emergencies
  • Female
  • Fetal Death / etiology
  • Hemoperitoneum / etiology*
  • Humans
  • Placenta Accreta / complications*
  • Placenta Accreta / diagnosis
  • Placenta Accreta / surgery
  • Pregnancy
  • Pregnancy Trimester, First
  • Uterine Rupture / complications*
  • Uterine Rupture / diagnosis
  • Uterine Rupture / surgery