POST-PARTUM INTRAABDOMINAL HEMORRHAGE DUE TO PLACENTA PERCRETA

Placenta percreta is a serious complication of pregnancy. A 38-year-ol d nullipara presented at 25 weeks gestation with preterm labour. Spont aneous delivery was followed by retained placenta. During an attempt t o remove the placenta manually placental tissue could not be distingui shed. Initially, placenta increta was considered as the most likely di agnosis and conservative management was planned, but progressive shock emerged due to intra-abdominal hemorrhage and laparotomy was performe d. Placenta percreta was diagnosed, followed by a supracervical hyster ectomy. A review of risk factors, diagnostic tools and treatment possi bilities is given.