Placental abruption leading to hysterectomy
Open accessAbstract
A 32-year-old multigravid patient at 21 weeks gestation presents with major concealed placental abruption and subsequent fetal demise. During an eventually failed misoprostol regime aiming for vaginal delivery she develops severe disseminated intravascular coagulopathy. Subsequent hysterotomy reveals Couvelaire uterus with major haemorrhage and requires subtotal hysterectomy for haemostasis. This case highlights the severity of the systemic response to abruption and fetal demise in utero and the multifactorial nature of its management.
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Concealed abruption can be severe and lead to fetal death and coagulopathy.
“Concealed abruption can be severe and lead to fetal death and coagulopathy (52).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [52]
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Cites
Clinical utility of sonography in the diagnosis and treatment of placental abruption
Glantz, C., & Purnell, L. (2002) · Journal of Ultrasound in Medicine · doi:10.7863/jum.2002.21.8.837 · Cited by 246 · see citing works
Pregnancy outcomes in placental abruption.
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Abruptio Placentae With Coagulopathy
Sher, G., & Statland, B. E. (1985) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-198528010-00003 · Cited by 66 · see citing works
Uteroplacental apoplexy (Couvelaire syndrome)
Habek, D., Selthofer, R., & Kulaš, T. (2008) · Wiener klinische Wochenschrift · doi:10.1007/s00508-008-0931-7 · Cited by 24 · see citing works
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Couvelaire uterus: a case report
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Couvelaire uterus - A case report
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Management Dilemmas with Major Placental Abruptions in the Midtrimester
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Research works printed but not linked: 3
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Brandt, J. S., & Ananth, C. V. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.06.059 · Cited by 115 · see citing works
- Authors
- Sylvester, H. C., & Stringer, M.
- Affiliations
- King Edward Memorial Hospital (AU)
- Corresponding author
- Sylvester, Hannah Catherine
- Venue
- BMJ Case Reports
- Publisher
- BMJ
- Published
- 2017-12-11
- Volume
- 2017
- Pages
- bcr2016218349
- ISSN
- 1757-790X (ISSN-L)
- PMC
- PMC5728244
- OpenAlex
- W2775827997
- Cited by
- 19
- References
- 9
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- BMJ Case Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
- Keywords
- placental abruption, hysterectomy, hysterotomy, disseminated intravascular coagulation, Couvelaire uterus, uterine bleeding, intrauterine fetal death, misoprostol, third trimester
- MeSH terms
- Abortifacient Agents, Abruptio Placentae, Adult, Diagnosis, Differential, Disseminated Intravascular Coagulation, Female, Fetal Death, Humans, Hysterectomy, Pregnancy, Pregnancy Trimester, Second, Misoprostol
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