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KMID : 1155520090040030265
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Anesthesia and Pain Medicine
2009 Volume.4 No. 3 p.265 ~ p.268
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Disseminated intravascular coagulation due to placenta accreta : A case report
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Kim Hyung-Tae
Mun Cheol-Sin
Heo Hyeon-eon
Kim Kwang-Yong
Lee Jun-Hak
Kwon Young-Eun
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Abstract
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Placenta accreta is a rare complication of pregnancy with high rates of maternal morbidity and mortality.It is usually discovered when removal of the placenta after delivery is difficult or there is substantial postpartum bleeding.Placenta accreta can be complicated by disseminated intravascular coagulation (DIC) and this increases maternal morbidity and mortality.DIC is characterized by the widespread activation of coagulation, which results in the intravascular formation of fibrin and ultimately thrombotic occlusion of small and midsize vessel.We report a 24-year-old woman with DIC, who developed severe pre- and intraoperative bleeding and massive transfusion during emergent cesarean section.
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KEYWORD
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disseminated intravascular coagulation, placenta accreta, postpartum bleeding.
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