Spontaneous rupture of the uterus caused by placenta percreta at 28 weeks of twin pregnancy.

A woman at 28 weeks' gestation in a twin pregnancy developed spontaneous rupture of the uterus caused by placenta percreta. Due to severe intraabdominal haemorrhage a laparotomy was performed and the bodies and parts of the dead foetuses were removed with sutured closer of the ruptured uterus. The predisposing factors, the diagnostic approaches and the possible surgical managements of the disease are summarised.