Ginecologia e Obstetrícia
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Abstrato

Excessive Bleeding due to Consumptive Coagulopathy after Delivery of an Intrauterine Fetal Death in a Patient known with Multiple Vascular Malformations; Mimicking the Kasabach-Merritt Syndrome

Evelyn-Maureen Schepers, Tom Vlasveld L, Jaap-Jan D Snoep, Sabine AJ Loyson and Kim E Boers

During the third trimester of pregnancy a physiological hypercoagulability state has been reported as a consequence of hormonal changes. This produces a vulnerable state for intravascular clotting. Some pathological obstetric conditions can modify this weak balance which can lead to hemorrhage and organ failure. We report a patient known with multiple Vascular Malformations and Localized intravascular coagulation causing a Chronic Mild Coagulopathy with excessive bleeding due to a high grade Disseminated Intravascular Coagulation at delivery of an intrauterine deceased full term fetus.