Document Detail

Vaginal bleeding before 20 weeks gestation due to placental abruption leading to disseminated intravascular coagulation and fetal loss after appearing to satisfy criteria for routine threatened abortion: a case report and brief review of the literature.
MedLine Citation:
PMID:  17499692     Owner:  NLM     Status:  MEDLINE    
We present a case of placental abruption with concomitant disseminated intravascular coagulation in a woman who presented with vaginal bleeding. A 32-year-old pregnant woman at 17 and 4/7 weeks gestation with a 1-month history of intermittent abdominal pain presented to our Emergency Department (ED) with 1 h of vaginal bleeding. Upon initial history, the patient reported that she was diagnosed with "blood behind the placenta" the day before and was discharged on pelvic precautions. An ED ultrasound confirmed the sub-amniotic hematoma with placental hematoma and a viable intrauterine fetus. A low fibrinogen level was suggested for disseminated intravascular coagulation and increasing hemorrhage necessitated dilation and evacuation and multiple units of blood products on an emergent basis. Only a few cases have been described in the literature demonstrating disseminated intravascular coagulation in patients at fewer than 20 weeks gestation with routine ultrasound findings of live intrauterine pregnancy and subchorionic hemorrhage.
Danner T Hodgson; Shahram Lotfipour; J Christian Fox
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-04-12
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  32     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-14     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387-92     Citation Subset:  IM    
Department of Emergency Medicine, University of California-Irvine School of Medicine, Irvine, California, USA.
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MeSH Terms
Abortion, Threatened / etiology*
Abruptio Placentae / blood*,  ultrasonography
Dilatation and Curettage
Disseminated Intravascular Coagulation / blood*,  complications
Pregnancy Complications, Hematologic / blood*,  ultrasonography
Pregnancy Trimester, Second
Uterine Hemorrhage / etiology*,  therapy

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