{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:10:18Z","timestamp":1773007818284,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,17]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Placenta accreta spectrum disorder varies from minimally adherent placenta to deeply invasive placenta. Placenta percreta is a rare cause for uterine rupture and the incidence of morbidly adherent placenta is on the rise due to increase in the rates of caesarean section. We report a case of a 32-year-old, G2P1L1 who presented to us at 27 weeks in a state of haemodynamic shock with intrauterine fetal death. She had a history of prior caesarean section complicated by postpartum haemorrhage requiring B-Lynch suturing. With an initial diagnosis of caesarean scar rupture, she underwent an emergency laparotomy. Intraoperatively, the caesarean scar was found to be intact and uterine fundal rupture with placental protrusion identified. She underwent caesarean hysterectomy and was discharged in a stable condition. The histopathology report confirmed the diagnosis of placenta percreta.<\/jats:p>","DOI":"10.1136\/bcr-2021-245593","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T10:45:43Z","timestamp":1633085143000},"page":"e245593","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Placenta percreta presenting as uterine rupture following previous B-Lynch suture"],"prefix":"10.1136","volume":"14","author":[{"given":"Shubhashis","family":"Saha","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Unit III, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuja","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Unit III, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Preethi","family":"Raja Navaneethan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Unit III, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavitha","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Unit III, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"key":"2025082703152564000_14.10.e245593.1","doi-asserted-by":"crossref","first-page":"318","DOI":"10.17772\/gp\/1584","article-title":"Placenta percreta leading to uterine rupture at 18 weeks of pregnancy with consecutive hysterectomy: a case report","volume":"84","author":"Wozniak","year":"2013","journal-title":"Ginekol Pol"},{"key":"2025082703152564000_14.10.e245593.2","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2019.e00165","article-title":"Laparoscopic hysterectomy to manage uterine rupture due to placenta percreta in the first trimester: a case report","volume":"25","author":"Lee","year":"2020","journal-title":"Case Rep Womens Health"},{"key":"2025082703152564000_14.10.e245593.3","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.ejogrb.2019.03.001","article-title":"Comparison of placenta accreta spectrum disorders diagnosed in intrapartum and antepartum period- a three year experience in a tertiary referral unit of India","volume":"236","author":"Mittal","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082703152564000_14.10.e245593.4","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1002\/ijgo.12407","article-title":"Figo placenta accreta diagnosis and management expert consensus panel. 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