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Couvelaire uterus

J L Hubbard1, S B Hosmer

  • 1University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, Stratford 08084-1504, USA.

The Journal of the American Osteopathic Association
|October 6, 1997
PubMed
Summary
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Uteroplacental apoplexy, a rare complication of placental abruption, involves uterine wall hemorrhaging. This case report details its diagnosis during cesarean section in a 24-year-old woman.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Pathology

Background:

  • Uteroplacental apoplexy is a rare complication associated with severe placental abruption.
  • It involves vascular damage in the placenta leading to hemorrhage into the uterine wall.
  • Diagnosis typically requires direct visualization or biopsy, potentially leading to underreporting.

Observation:

  • This report focuses on a 24-year-old pregnant woman.
  • The patient experienced a placental abruption.
  • Classic uteroplacental apoplexy was diagnosed during her cesarean section.

Findings:

  • The case confirms uteroplacental apoplexy as a complication of placental abruption.
  • Diagnosis was established intraoperatively during cesarean delivery.

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  • The condition, though rare, was identified through direct observation.

    • Implications:

    • Highlights the importance of recognizing uteroplacental apoplexy in severe placental abruption cases.
    • Suggests potential underestimation of its incidence in clinical practice.
    • Emphasizes the need for diagnostic vigilance in obstetric emergencies.