La placenta percreta es aquella cuya inserción alcanza la serosa o incluso penetra en la cavidad abdominal. Es una entidad poco frecuente,aunque su incidencia aumenta en los casos que se asocian a placenta previa y con el antecedente de cesárea.
En nuestro caso clínico,presentamos a una paciente diagnosticada de placenta previa,con antecedentes de cesárea y útero bicorne a la que indicamos una cesárea urgente por riesgo de pérdida de bienestar fetal y en la cual se objetivó hemoperitoneo,placenta percreta y rotura uterina,por lo que se realizó una histerectomía abdominal total simple. La evolución materna y fetal fue satisfactoria.
Placenta percreta is that whose implantation reaches the serosa and sometimes penetrates the abdominal cavity. It is an unusual entity, although its incidence increases in those cases with previous placenta previa and cesarean section.
In our clinical case we present a patient diagnosed as placenta previa, with a history of caesarean section and bicornuate uterus which indicated emergency caesarean section because of the risk of fetal distress, and during which haemoperitoneum, placenta percreta and uterine perforation were observed. Simple total abdominal hysterectomy was carried out, and both mother and fetus evolved satisfactorily.
