Placental Abruption Revealed by Hemoperitoneum: A Case Report

Bertholdt, Charline; Vincent-Rohfritsch, A.; Tsatsaris, Vassilis; Goffinet, François

doi:10.1055/s-0036-1597267

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…Couvelaire uterus or uteroplacental apoplexy is a severe form of abruption where there is widespread extravasation of blood into the uterine musculature and beneath the serosa. Incidences of hemoperitoneum caused due to abruption with seepage of blood through the fallopian tube have also been reported [1] . Couvelaire was the first to describe this as a pathological entity in 1912.…”

Section: Introductionmentioning

confidence: 98%

Couvelaire uterus with concealed abruptio placenta: A case report

Anandita¹,

Mani²,

Nidhi³

2018

Int. J. Clin. Obstet. Gynaecol.

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Couvelaire uterus or uteroplacental apoplexy is a severe form of abruption where there is widespread extravasation of blood into the uterine musculature and beneath the serosa. It is one of the complication of abruption placentae in which myometrial wall is infiltrated by blood leading to classic ecchymotic uterus appearance. In our case, there was concealed abruption placentae with no significant predisposing factor being revealed in history. Preoperatively, there was retroplacental clot with couvelaire uterus but with no post operative complication.

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Section: Introductionmentioning

confidence: 98%

Couvelaire uterus with concealed abruptio placenta: A case report

Anandita¹,

Mani²,

Nidhi³

2018

Int. J. Clin. Obstet. Gynaecol.

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Couvelaire uterus resulting in haemoperitoneum

Lee¹,

Calvert²,

Jape³

2022

Journal of Surgical Case Reports

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First described by Dr Alexandre Couvelaire in 1911, a Couvelaire uterus is a rare complication of severe placental abruption (PA), which is diagnosed by the direct visualization of the uterus. There has been only one case report thus far that reported of an intraperitoneal bleed due to PA resulting in a poor outcome. We present a rare and serious case of Couvelaire uterus resulting in haemoperitoneum with a good outcome (live healthy infant, uterus preservation and total blood loss of 800 ml) in a primigravida with no prior risk factors and low-risk pregnancy other than a complete placenta praevia diagnosed during anatomy scan, which subsequently was reported as clear of cervix in third trimester ultrasound scan. She was diagnosed with placenta abruption and pre-eclampsia post-partum. Most cases of PA cannot be predicted or prevented. However, in some cases, close monitoring and timely decision-making can prevent adverse maternal and foetal outcomes.

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Pregnancy Evolution, Associated Complications and Perinatal Outcome in Patients with Placenta Previa and Placental Abruption

Illia

2017

MOJWH

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Placental Abruption Revealed by Hemoperitoneum: A Case Report

Cited by 4 publications

References 10 publications

Couvelaire uterus with concealed abruptio placenta: A case report

Couvelaire uterus with concealed abruptio placenta: A case report

Couvelaire uterus resulting in haemoperitoneum

Pregnancy Evolution, Associated Complications and Perinatal Outcome in Patients with Placenta Previa and Placental Abruption

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