IMR Press / CEOG / Volume 42 / Issue 5 / DOI: 10.12891/ceog1891.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Treatment of pregnant patient with disseminated intravascular coagulation (DIC) due to placental abruption – a case report
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1 Clinic of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade
2 School of Medicine, University of Belgrade, Belgrade (Serbia)
Clin. Exp. Obstet. Gynecol. 2015, 42(5), 692–695; https://doi.org/10.12891/ceog1891.2015
Published: 10 October 2015
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.
Keywords
Placental abruption
DIC
Congenital thrombophilia
Antifibrinolitic drugs
Tranexamic acid
Desmopressin
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