A particular etiology of spontaneous uterine rupture in second trimester of pregnancy: placenta increta

Placenta accreta is characterized by an abnormal placental adhesion, particularly rare and dangerous, it’s associated with serious hemorrhagic complications, in particular uterine rupture during pregnancy. We report a case of placenta increta complicated by uterine rupture, revealed by hemoperitoneum at 21 weeks' amenorrhea in a 27-year-old patient with a third gesture and second pare. We performed an emergency subtotal hysterectomy. The interest of this case lies in the diagnostic difficulties that may result from this atypical clinical condition, which is rare in obstetric practice.