Table 1: Characteristics and CT-Scan findings of the 9 cases of fundal placenta percreta complicated by uterine rupture.
Author |
Age (yo) |
Parity |
GA (weeks) |
Risk factors |
CT-scan findings |
Site of rupture |
Surgery |
Sun, 2016 [10] |
39 |
G2P1 |
17 |
-Myomectomy |
- Large mass-like high attenuation irregular collection above uterus - Large hemoperitoneum - Suggesting rupture |
Tear of 2 cm in the left cornu |
NA |
24 |
GP40 |
34 |
-3 abortions |
- Large mass-like high attenuation irregular collection above uterus - Large hemoperitoneum - Uterine wall discontinuity - Suggesting rupture |
Tear of 1.5 cm in the left cornu |
NA |
|
Rasool, 2016 [11] |
32 |
G3P1 |
28 |
- 1 CD - 1 D&C |
- Hemoperitoneum |
Complete rupture of the left cornu |
Hysterectomy |
Dahiya, 2012 [12] |
40 |
G1P0 |
19 |
- Asherman’s syndrome - IVF |
- Hemoperitoneum - Weakening of myometrium at the left fundus |
Large uterine fundal defect |
Hysterectomy |
Martinez- Garza, 2012 [13] |
28 |
G1P0 |
20 |
- Didelphys uterus |
- Hemoperitoneum |
Fundus of hemi-uterus |
Hysterectomy |
20 |
G2P0 |
NA |
- 1 abortion - Bicornuate uterus |
- Hemoperitoneum - Free fetus in the abdomen |
Left uterine horn |
Removal of the horn |
|
Sant, 2012 [14] |
30 |
G2P0 |
21 |
- 1 TOF - PID - Bicornuate uterus |
- Hemoperitoneum |
Right uterine horn |
Removal of the horn |
Son, 2006 [15] |
35 |
G6P2 |
8 |
- 2 NVD - 3 D&C |
- 6 × 5 cm bulging vascular mass on left uterine corneal portion |
4 × 3 cm cystic lesion on the left fundus |
Hysterectomy |
The present case |
33 |
G3P2 |
21 |
- 2 CD |
- 2 × 2 cm bulging vascular mass through the left fundal area - Hemoperitoneum |
3 × 2 cm dent on the left antero-lateral side of the fundus |
Hysterectomy |