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Human Reproduction, Vol. 17, No. 3, 817-820, March 2002
© 2002 European Society of Human Reproduction and Embryology

Placenta percreta in week 10 of pregnancy with consecutive hysterectomy: Case report

Martin Höpker1, Georg Fleckenstein1, Wolfgang Heyl1, Burkhard Sattler2 and Günter Emons1,3

1 Department of Obstetrics and Gynecology and 2 Department of General Pathology and Pathological Anatomy I, Georg August University, Robert-Koch-St 40, D-37075 Göttingen, Germany

Placenta percreta in early pregnancy is rare and has been documented in only a few cases. We report on a patient with abdominal pain in week 10 of pregnancy. Sonography revealed a defective embryonic development and the absence of a border line between trophoblast and myometrium, as well as invasive growth in the region of isthmocervical transition, so curettage was performed. Heavy bleeding at this stage made a hysterectomy necessary. Histological examination revealed a placenta percreta. Because of possible complications, the therapy of choice for a placenta percreta is a hysterectomy, as was performed in this case.

Key words: abdominal pain in early pregnancy/impaired placentation/mole-like changes/placenta percreta

3 To whom correspondence should be addressed. E-mail: emons{at}med.uni-goettingen.de

Submitted on May 21, 2001


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