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Published on: July 18, 2007
Fetal parts embolization during termination of pregnancy: report of a case
R Saltzman1, P Miranda, E Jerez
1Department of Pathology, Beth Israel Medical Center, New York, NY 10003.
Abstract:
A 19-year-old woman underwent termination of pregnancy by dilatation and evacuation at 19 weeks of gestation. She subsequently developed persistent massive hemorrhage, with laboratory evidence of a consumption coagulopathy. Attempts to control bleeding were unsuccessful, and the patient underwent a hysterectomy. Pathologic evaluation of the uterus revealed embolization of fetal tissues and placental fragments in the uterine and parametrial veins. This is the first reported case of such a finding, and its importance in relation to the patient's clinical presentation is discussed.
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