Treatment of pregnant patient with disseminated intravascular coagulation (DIC) due to placental abruption--a case report

Clin Exp Obstet Gynecol. 2015;42(5):692-5.

Abstract

A primigravid woman at 29th gestational week with placental abruption causing fetal death, that underwent instant cesarean section, developed a disseminated intravascular coagulation (DIC), revealed by hemoperitoneum and hematoma of the abdominal wall. After re-laparotomy and transfusion of blood, fresh plasma, and platelets, the patient was discharged from hospital on the 14th postoperative day completely recovered. To conclude, conservative surgical approach for DIC treatment is possible and safe. Novel antifibrinolitic drugs are recommended for obstetrical patients with DIC to enable a healthy subsequent pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Abruptio Placentae / diagnosis*
  • Abruptio Placentae / surgery
  • Adult
  • Antifibrinolytic Agents / administration & dosage
  • Cesarean Section
  • Diagnosis, Differential
  • Disseminated Intravascular Coagulation / diagnosis*
  • Disseminated Intravascular Coagulation / therapy
  • Female
  • Fetal Death
  • Hematoma / diagnosis*
  • Hematoma / therapy
  • Humans
  • Laparotomy
  • Pregnancy
  • Pregnancy Complications, Hematologic / diagnosis*
  • Pregnancy Complications, Hematologic / therapy

Substances

  • Antifibrinolytic Agents