Open AccessAn Unusual Case of Placenta Abruption Leading to Couvelaire Uterus in a Previable Pregnancy
Author(s) -
Goh Siak Ming,
Wai Kheong Ryan Lee,
Shaohua Tan
Publication year - 2020
Publication title -
journal of medical cases
Language(s) - English
Resource type - Journals
eISSN - 1923-4163
pISSN - 1923-4155
DOI - 10.14740/jmc3462
Subject(s) - medicine , hysterotomy , placental abruption , obstetrics , uterus , hysterectomy , etiology , complication , pregnancy , products of conception , placenta , gynecology , placenta diseases , uterine rupture , surgery , gestation , fetus , genetics , psychiatry , biology
Couvelaire uterus or uteroplacental apoplexy is a rare complication of abruptio placentae whose etiology is unknown. It is a clinical diagnosis made during visual inspection of the uterus. Immediate management is usually conservative and hysterectomy is usually not required. Our case highlights the importance of early recognition of a clinically unstable previable pregnant patient with suspected placenta abruption and early surgical recourse with successful emergency hysterotomy.