Placenta Percreta With Spontaneous Rupture of an Unscarred Uterus in the Second Trimester

Asymptomatic expulsion of a fetus through cesarean section scar in the presence of invasive placenta previa

Spontaneous rupture of the uterus during the 2nd and 3rd trimester resulting from invasive placentation is a rare complication of pregnancy. We report a case of a 39-year-old G6P4, with four previous cesarean sections, who presented at mid-gestation with brown vaginal discharge. Invasive placenta previa was detected upon conducting abdominal ultrasound. The fetal head was seen trapped within the uterine scar, while the fetal body was visualized within the maternal abdominal cavity with intact membranes. In cases with invasive placentation, early attention to uterine rupture may reduce maternal morbidity.