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

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. ZUSAMMENFASSUNG:Unter dem Begriff „Deziduose“ wird das schwangerschaftsassoziierte Auftreten ektoper Dezidua verstanden, welches zumeist asymptomatisch verläuft. Berichtet wird über 2 Fälle mütterlicher intraabdomineller Massenblutungen aufgrund dieser hier symptomatischen Veränderung. Zu den Komplikationen kam es zu verschiedenen Zeitpunkten in den jeweiligen Fällen: präpartal (26. Schwangerschaftswoche) bzw. – erstmals überhaupt publiziert – 7 Tage postpartal. Neben differenzialdiagnostischen Aspekten werden das Management der Erkrankung und mögliche Auswirkungen auf mögliche Folgegraviditäten diskutiert.

authors

Lüdders DW,Henke RP,Saba M,Raddatz L,Soliman A,Malik E

doi

10.1055/s-0035-1545876

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

259-262

issue

3

eissn

0016-5751

issn

1438-8804

journal_volume

75

pub_type

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