Open AccessRupture of hidden abnormal myometrial vessels during cesarean delivery of a patient with subserosal leiomyoma: A possible pathogenesis of sudden‐onset disseminated intravascular coagulation
Author(s) -
Ushijima Junko,
Wang Liangcheng,
Ko Hiroyoshi,
Horiuchi Isao,
Chikazawa Kenro,
Sasaki Shigetane,
Kuwata Tomoyuki,
Takagi Kenjiro,
Tanaka Akira
Publication year - 2018
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1718
Subject(s) - medicine , disseminated intravascular coagulation , leiomyoma , radiology , uterine leiomyoma , anastomosis , surgery , cardiology
Key Clinical Message We report a case of sudden‐onset disseminated intravascular coagulation during cesarean delivery for a patient with a subserosal leiomyoma. Rupture of hidden anastomotic vessels resulted in a significant decrease in fibrinogen levels and uncontrolled bleeding. Uterine venous flow disturbance caused by subserosal leiomyoma compression can possibly cause such a situation.