Placental abruption is a severe complication in pregnancy, causing third trimester haemorrhage. Placental tissue factor triggers coagulation activation with consumption of coagulation factors, and bleeding into the myometrium can cause uterine apoplexy, known as Couvelaire Uterus. We report the case of a patient who developed Uterine apoplexy after placental abruption, leading to coagulopathy and a puerperal hematoma. The patient was managed conservatively and had a favorable outcome, but the case report highlights the importance of early fibrinogen replacement in such patients.
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Chajai et al. (2024) studied this question.
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