Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report

被引:0
作者
Lerias-Cambeiro, Muriel [1 ]
Rodrigues, Anabela [2 ]
Taborda, Ines [1 ]
Lanca, Filipa [1 ]
机构
[1] Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Anaesthesiol, Lisbon, Portugal
[2] Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Immunohemotherapy, Lisbon, Portugal
来源
ACTA MEDICA PORTUGUESA | 2018年 / 31卷 / 09期
关键词
Blood Coagulation Disorders; Blood Transfusion; Postpartum Hemorrhage; Thrombelastography; OBSTETRIC HEMORRHAGE; RISK-FACTORS; MANAGEMENT;
D O I
10.20344/amp.9795
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Postpartum haemorrhage is an important health issue worldwide, and it can be caused by uterine atony, retained placental tissue, trauma or coagulation disorders. Although coagulopathy represents a rare cause, it is a significant contributor to postpartum haemorrhage with poor outcomes. Associated with high morbidity and mortality rates, postpartum haemorrhage demands prevention, prompt diagnosis and effective management. We describe a unique case of severe coagulopathy caused by underestimated blood loss during caesarean section without postpartum bleeding, in which transfusion requirements were thromboelastometry-guided. This case report depicts how an early multidisciplinary approach and patient-centred care in an obstetric emergency contributes to a positive outcome from a challenging situation, enabling the prevention of an imminent, catastrophic haemorrhage.
引用
收藏
页码:511 / 514
页数:4
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