Couvelaire Uterus Without Placental Abruption: A Rare Case Report

Kori, Shreedevi; Mudanur, S R; Patil, Neelamma; Aruna, S; Aishwarya, J.; Patil, Kewal

doi:10.14260/jemds/2014/3267

Cited by 1 publication

(3 citation statements)

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“…This case was like the one reported by Kori et al who wrote that they found a case of uterine couvelaire without considering the presence of placental abruption. 4 It was not known exactly what had caused this uterine couvelaire, because there was no placental abruption, but the incidence occurred several days after cesarean section. When the cesarean section did not find any signs of uterine couvelaire either, so it was likely due to iatrogenic injury to the uterine wall after the section which had caused extravasation of blood.…”

Section: Discussionmentioning

confidence: 99%

“…Sometimes bleeding can also occur between large layers of ligaments and infiltrating the uterine wall muscles. 4,5 Sometimes, infiltration can also reach the peritoneal cavity. 6 The resulting effect causes contraction of the myometrium or uterine muscle to become weak and even rupture due to an increase in intrauterine pressure.…”

Section: Introductionmentioning

confidence: 99%

“…9 The management of these cases is usually done immediately conservatively, and hysterectomy is usually unnecessary. 1,4,6,11 The uterine couvelaire does not affect the ability of the uterus to contract and decompress, allowing narrowing of the arteries to reach a state of hemostasis. Hysterectomy can be indicated as an act of saving the soul if the process of hemostasis is not achieved so that it can cause disseminated intravascular coagulation.…”

Section: Introductionmentioning

confidence: 99%

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Uterus couvelaire after caesarean section: A challenging case report

Singgih¹,

Sinaga²,

Sinaga³

2021

MOG

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HIGHLIGHTS1. Uterus couvelaire, also known as uteroplacental apoplexy, is one of the causative post-partum haemorrhage and peripartum hysterectomy.2. The pathophysiology of uterus couvelaire are bleeding in the layer between the decidua-placenta, which then develops and infiltrates into the uterine wall.3. The uterine couvelaire is associated with placental abruption, placenta previa, coagulopathy, pre-eclampsia, uterine rupture, and amniotic fluid embolism.4. This case report shows the unknown of causative during delivery which can lead to maternal morbidity even mortality if there is no proper maternal monitoring during delivery.ABSTRACTObjectives: To discuss the discovery of uterine couvelaire events after the cesarean section without accompanying placental abruption.Case Report: Uterus Couvelaire is a rare occurrence. The incidence of this case is difficult to ascertain and its estimated incidence is as much as 20% and others’ estimatation is as low as 5%. It occurs mainly due to complications from placental abruption. When a vascular injury occurs in the placenta, it causes bleeding that infiltrates the wall of the uterus. This case is usually diagnosed accidentally because it is diagnosed only by direct visualization or biopsy. In this case, uterine couvelaire was found in a woman after a cesarean section that had been performed previously. Uterine couvelaire events are usually seen due to complications from placental abruption, but in this case, there was none.Conclusion: It was not known for sure what caused the emergence of the uterine couvelaire in this case. Hysterectomy was performed in this case due to the patient's unstable hemodynamic state.

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Section: Discussionmentioning

confidence: 99%