Severe Maternal Pre- and Postpartum Intra-Abdominal Bleeding due to Deciduosis

In: Geburtshilfe und Frauenheilkunde · 2015 · vol. 75(03) , pp. 259–262 · doi:10.1055/s-0035-1545876 · PMID:25914420 · PMC4397934 · W1991721903
article OA: bronze CC0 ⤵ 4 in-corpus citations

Abstract

The term "deciduosis" is used to describe the severe pregnancy-associated occurrence of ectopic decidua with a usually asymptomatic course. We report on two cases of massive maternal intra-abdominal bleeding due to such symptomatic changes. The complications arose at different time points for the two cases: prepartum (26th week of pregnancy) or, respectively, - reported here for the first time - seven days postpartum. As well as differential diagnostic aspects we describe the management of the disease and its possible effects on subsequent pregnancies.

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