A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation
A 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultrasonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2014-03-01
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| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/605 |
| _version_ | 1817997717182349312 |
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| author | Toshihiko Kinoshita Naoki Takeshita Akiko Takashima Yutaka Yasuda Hiroaki Ishida Megumi Manrai |
| author_facet | Toshihiko Kinoshita Naoki Takeshita Akiko Takashima Yutaka Yasuda Hiroaki Ishida Megumi Manrai |
| author_sort | Toshihiko Kinoshita |
| collection | DOAJ |
| description | A 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultrasonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and hypovolemic shock. We performed blood transfusion and therapy to treat the critical condition. However, the mother’s condition continued to worsen. Therefore, we performed a hysterotomy and aborted the pregnancy to save the mother. Since heavy bleeding caused by placental abruption leading to a life-threatening condition for a mother before the 20 weeks of gestation is very rare, the present case is an important case study. |
| first_indexed | 2024-04-14T02:42:30Z |
| format | Article |
| id | doaj.art-85fe6f2b7154424ba8a2e5736939d6de |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-14T02:42:30Z |
| publishDate | 2014-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-85fe6f2b7154424ba8a2e5736939d6de2022-12-22T02:16:48ZengMDPI AGClinics and Practice2039-72752039-72832014-03-014110.4081/cp.2014.605261A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestationToshihiko Kinoshita0Naoki Takeshita1Akiko Takashima2Yutaka Yasuda3Hiroaki Ishida4Megumi Manrai5Department of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, ChibaDepartment of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, ChibaDepartment of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, ChibaDepartment of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, ChibaDepartment of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, ChibaDepartment of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, ChibaA 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultrasonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and hypovolemic shock. We performed blood transfusion and therapy to treat the critical condition. However, the mother’s condition continued to worsen. Therefore, we performed a hysterotomy and aborted the pregnancy to save the mother. Since heavy bleeding caused by placental abruption leading to a life-threatening condition for a mother before the 20 weeks of gestation is very rare, the present case is an important case study.https://www.clinicsandpractice.org/index.php/cp/article/view/605placental abruptiondisseminated intravascular coagulopathysecond trimester. |
| spellingShingle | Toshihiko Kinoshita Naoki Takeshita Akiko Takashima Yutaka Yasuda Hiroaki Ishida Megumi Manrai A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation Clinics and Practice placental abruption disseminated intravascular coagulopathy second trimester. |
| title | A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation |
| title_full | A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation |
| title_fullStr | A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation |
| title_full_unstemmed | A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation |
| title_short | A case of life-threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation |
| title_sort | case of life threatening obstetrical hemorrhage secondary to placental abruption at 17 weeks of gestation |
| topic | placental abruption disseminated intravascular coagulopathy second trimester. |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/605 |
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