Excessive Bleeding due to Consumptive Coagulopathy after Delivery of an Intrauterine Fetal Death in a Patient known with Multiple Vascular Malformations; Mimicking the Kasabach-Merritt Syndrome

Abstract

During the third trimester of pregnancy a physiological hypercoagulability state has been reported as a consequence of hormonal changes. This produces a vulnerable state for intravascular clotting. Some pathological obstetric conditions can modify this weak balance which can lead to hemorrhage and organ failure. We report a patient known with multiple Vascular Malformations and Localized intravascular coagulation causing a Chronic Mild Coagulopathy with excessive bleeding due to a high grade Disseminated Intravascular Coagulation at delivery of an intrauterine deceased full term fetus.