A Case of Spontaneous Intra-Amniotic Hemorrhage in an Asymptomatic Patient at Near Term Pregnancy

Gilboa, Y.; Duvdevani, N.; Yinon, Yoav; Achiron, Reuven

doi:10.1159/000334884

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…We found only 6 other reports in the literature of a spontaneous intra-amniotic hemorrhage [ 2 , 3 , 5 – 8 ]. One case was that of an intra-amniotic hemorrhage that occurred from a tear in the fibrous rim of a circumvallate placenta [ 2 ].…”

Section: Discussionmentioning

confidence: 93%

“…Intra-amniotic hemorrhages can be the result of an amniocentesis [ 1 ] or bleeding from the placenta [ 2 ], or can occur spontaneously [ 3 ]. The most frequently performed procedure that is a cause of intra-amniotic bleeding is amniocentesis [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…One case was that of an intra-amniotic hemorrhage that occurred from a tear in the fibrous rim of a circumvallate placenta [ 2 ]. Gilboa et al reported a case of an intra-amniotic hemorrhage at 38 weeks of gestation, resulting in good maternal and neonatal outcomes [ 3 ]. The third case was that of an intra-amniotic hemorrhage that mimicked gastroschisis and is described above [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Of the other 6 cases, only 1 delivered vaginally at 21 weeks after preterm premature rupture of the membranes. In 1 pregnancy, the hemorrhage was detected at term just prior to a repeat cesarean delivery [ 3 ], 2 underwent preterm emergency cesarean deliveries after an intra-amniotic hemorrhage was diagnosed [ 2 , 8 ], 1 underwent a cesarean at 31 weeks with diagnosed chorioamnionitis [ 7 ], and 1 had a cesarean for hemodynamic instability [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Intra-Amniotic Hemorrhage Imitating Gastroschisis: A Case Report and Review of the Literature

et al. 2016

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Patient: Female, 33Final Diagnosis: Intramamniotic hemorrhageSymptoms: Abdominal pain • uterine contractions • vaginal bleedingMedication: —Clinical Procedure: Cesarean deliverySpecialty: Obstetrics and GynecologyObjective:Unusual clinical courseBackground:A spontaneous intra-amniotic hemorrhage is rarely encountered during pregnancy. The correct diagnosis and management are problematic because of the infrequency of this condition and the high likelihood of a misdiagnosis.Case Report:A primigravida with an uncomplicated pregnancy and a normal targeted ultrasound presented late in the second trimester of pregnancy with antepartum bleeding of unknown origin. A repeat ultrasound was suggestive of an abdominal wall defect (gastroschisis). The patient continued to have antepartum bleeding and developed uterine contractions and abdominal pain necessitating frequent visits to labor and delivery. An MRI ruled out gastroschisis and diagnosed intra-amniotic hematoma. The patient presented with acute abdominal pain and was clinically considered to be having an abruption, and was delivered by cesarean. Old blood was noted in the abdominal cavity and within the uterine cavity. At the time of the cesarean, an area of intra-amniotic hematoma was identified, as well as a retroplacental blood clot.Conclusions:An intra-amniotic hematoma is unusual and may be misdiagnosed. MRI may be helpful in determining the correct diagnosis and subsequent management.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Intra-Amniotic Hemorrhage Imitating Gastroschisis: A Case Report and Review of the Literature

et al. 2016

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“…Gilboa et al presented a case of an incidental finding of intra-amniotic haemorrhage prior to a planned caesarean section with no adverse effect on the mother or neonate 3. Ustuner et al reported a patient at 20 weeks who presented for specialist fetal medicine review with a raised serum alpha-fetoprotein concentration and a normal scan at 18 weeks.…”

Section: Discussionmentioning

confidence: 99%

Successful outcome after spontaneous first trimester intra-amniotic haematoma and early preterm premature rupture of membranes

Bakalis¹,

David

2018

BMJ Case Rep

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A spontaneous intra-amniotic haematoma is a rare cause of preterm premature rupture of the membranes (PPROM) but can have significant fetal and maternal consequences. It has previously been reported to occur in the second and third trimesters but not in an earlier gestation. We present a case that presented acutely in the first trimester of pregnancy, which leads to early PPROM at 15 weeks and spontaneous preterm delivery at 28 weeks of gestation. There were no maternal complications during the pregnancy.

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A case of intraamniotic hemorrhage with ruptured marginal cord insertion at 36 weeks of gestation

Rubisz¹,

Kobierzycki²,

Karmowski³

et al. 2018

Clin. Exp. Obstet. Gynecol.

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Spontaneous hemorrhage into the amniotic cavity is a very rare complication of pregnancy. In the case described here, acute intraamniotic hemorrhage occurred as the result of the rupture of the blood vessels in membranous marginal cord insertion in physiological week 36 of a multiparous pregnancy. Fast and accurate diagnosis afforded a satisfactory result. The aim in presenting this case report is to draw attention to important aspects of the diagnostic and therapeutic process in this difficult form of placental pathology.

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A Case of Spontaneous Intra-Amniotic Hemorrhage in an Asymptomatic Patient at Near Term Pregnancy

Cited by 3 publications

References 5 publications

Intra-Amniotic Hemorrhage Imitating Gastroschisis: A Case Report and Review of the Literature

Intra-Amniotic Hemorrhage Imitating Gastroschisis: A Case Report and Review of the Literature

Successful outcome after spontaneous first trimester intra-amniotic haematoma and early preterm premature rupture of membranes

A case of intraamniotic hemorrhage with ruptured marginal cord insertion at 36 weeks of gestation

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