Pafumi C, Leanza V, Carbonaro A, Stracquadanio M, Leanza G and D’Agati A
Uterine rupture occurs when the integrity of the myometrial wall is compromised. It could interest the uterine body (prior to labour) or the lower segment (during labour). The main causes of uterine rupture are obstetric anamnestic factors and/or the administration of oxytocin. The authors report the case of a 37 years old patient with risk factors for uterine rupture of precedent endometritis post-abortion. After the expulsion of the placenta the mother had continuous blood loss, for this reason she was subjected to subtotal hysterectomy. Histological examination revealed the absence of decidua in the uterine fundus and thinning of the myometrium. Histological examination of the lesion at the site commented that there was infiltration of the chorionic villi into the endometrium, and this is undoubtedly the features of placenta accreta.