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Clinics and Practice
Volume 4
Issue 1
10.4081/cp.2014.605
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

A Case of Life-Threatening Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation

by
Toshihiko Kinoshita
*,
Naoki Takeshita
,
Akiko Takashima
,
Yutaka Yasuda
,
Hiroaki Ishida
and
Megumi Manrai
Department of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, Chiba, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2014, 4(1), 605; https://doi.org/10.4081/cp.2014.605
Submission received: 4 October 2013 / Revised: 29 January 2014 / Accepted: 24 March 2014 / Published: 27 March 2014

Abstract

A 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultrasonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and hypovolemic shock. We performed blood transfusion and therapy to treat the critical condition. However, the mother’s condition continued to worsen. Therefore, we performed a hysterotomy and aborted the pregnancy to save the mother. Since heavy bleeding caused by placental abruption leading to a life-threatening condition for a mother before the 20 weeks of gestation is very rare, the present case is an important case study.
Keywords: placental abruption; disseminated intravascular coagulopathy; second trimester placental abruption; disseminated intravascular coagulopathy; second trimester

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MDPI and ACS Style

Kinoshita, T.; Takeshita, N.; Takashima, A.; Yasuda, Y.; Ishida, H.; Manrai, M. A Case of Life-Threatening Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation. Clin. Pract. 2014, 4, 605. https://doi.org/10.4081/cp.2014.605

AMA Style

Kinoshita T, Takeshita N, Takashima A, Yasuda Y, Ishida H, Manrai M. A Case of Life-Threatening Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation. Clinics and Practice. 2014; 4(1):605. https://doi.org/10.4081/cp.2014.605

Chicago/Turabian Style

Kinoshita, Toshihiko, Naoki Takeshita, Akiko Takashima, Yutaka Yasuda, Hiroaki Ishida, and Megumi Manrai. 2014. "A Case of Life-Threatening Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation" Clinics and Practice 4, no. 1: 605. https://doi.org/10.4081/cp.2014.605

APA Style

Kinoshita, T., Takeshita, N., Takashima, A., Yasuda, Y., Ishida, H., & Manrai, M. (2014). A Case of Life-Threatening Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation. Clinics and Practice, 4(1), 605. https://doi.org/10.4081/cp.2014.605

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