Case Report

Placenta Increta and Cocaine Abuse in a Grand Multipara Leading to a Second Trimester Rupture of an Unscarred Uterus: A Case Report

Authors: James M. Palmer, MD, Megan D. Indermaur, MD, Christine C. Tebes, MD, William N. Spellacy, MD

Abstract

A case of a uterine rupture in a grand multiparous patient with an unscarred uterus at 19 weeks’ gestation secondary to placenta increta and cocaine abuse is presented. This was a diagnostically difficult case where abnormal implantation of the placenta, grand multiparity, and cocaine abuse were all contributors to the uterine rupture.


Key Points


* A previously unscarred uterus may rupture in the second trimester secondary to placenta increta and cocaine abuse.


* Abdominal pain in a pregnant patient presents a diagnostic challenge, especially in an uncooperative, intoxicated patient.


* Cocaine use may adversely effect uterine architecture and hemodynamics.

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