Utero-placental apoplexy during induction of therapeutic abortion in a 18-week pregnancy

A. De Dominicis, N. Di Stefano, G. Mazzone, F. Di Leo, V. Daveri, G. Calvisi, L. Di Stefano

Department of Gynecology and Obstetrics – University of L’Aquila (Italy), Medical School, University of L’Aquila, L’Aquila, Italy. achillededominicis@hotmail.it

---

• Obstetrics

Utero-Placental Apoplexy, or Couvelaire Uterus, is a third-trimester major obstetrical complication, occurring especially during labor. It consists of placental abruption followed by an acute intradecidual hemorrhage produced by the rupture of the uterus-placental spiral arterioles leading to a retroplacental hematoma. This hemorrhage infiltrates the uterine wall up to intra- and retro-peritoneal areas.

We provide a case report, on which no previous literature is available, of a utero-placental apoplexy during induction of therapeutic abortion.

Free PDF Download