Spontaneous uterine rupture is life threatening in pregnant women. Placenta percreta-induced spontaneous uterine rupture is extremely rare and difficult to diagnose. We present a 35-year-old pregnant woman of G age 26+2 weeks with a history of 1 previous lower segment cesarean section who presented to the emergency department in shock. Massive hemoperitoneum was noted in sonography and exploratory laparotomy was done . During laparotomy, uterine rupture with massive bleeding was detected; uterus repair was done with tubal ligation. Postpartum Hemorrhage was controlled by internal iliac ligation. The patient was discharged without any complications.
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