An examination of the causes, diagnosis and management of. Couvelaire uterus synonyms, couvelaire uterus antonyms. Asymmetry of the uterus in early pregnancy sciencedirect. The hemorrhage that gets into the decidua basalis ultimately splits the decidua, and the haematoma may remain within the decidua or may extravasate into the myometrium the muscular wall of the uterus. Couvelaire uterus medical definition merriamwebster. Extravasation of blood into the uterine musculature and beneath the uterine peritoneum in association with severe forms of abruptio placentae. Couvelaire uterus synonyms, couvelaire uterus pronunciation, couvelaire uterus translation, english dictionary definition of couvelaire uterus. Uteroplacental apoplexy couvelaire syndrome springerlink. Couvelaire uterus or uteroplacental apoplexy is a blood infiltration of the uterine myometrium due to the formation of a. Coagulation defects associated with premature separation of. Couvelaire uterus is a lifethreatening condition in which loosening of the placenta abruptio.
Couvelaire uterus definition of couvelaire uterus at. Links to pubmed are also available for selected references. It occurs when vascular damage within the placenta causes hemorrhage that progresses to and infiltrates the wall of the uterus 1. Couvelaire uterus definition at, a free online dictionary with pronunciation, synonyms and translation. It was first described by couvelaire in the early 1900s as uteroplacental apoplexy, later it was termed as. Couvelaire uterus is a life threatening condition in which loosening of the placenta abruptio placentae causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity. Couvelaire uterus article about couvelaire uterus by the. A billable code is detailed enough to be used to specify a medical diagnosis. Couvelaire uterus is caused when haemorrhage from placental blood vessels seeps into decidua basalis causing placental separation, followed by in. Obstetric haemorrhage ranks as the first cause of maternal mortality accounting for 25 50 % of maternal deaths 3. Couvelaire uterus is one of the most severe complications in placental detachment occurring in 0.
Diagnosis is made on visual inspection of the uterus. Couvelaire uterus is a rare nonfatal placenta abruption with diagnosis made by visual inspection or biopsy. It is a clinical diagnosis made during visual inspection of the uterus. Having couvelaire uterus without any evidence of abruption. Couvelaire uterus or uteroplacental apoplexy is a rare complication of abruptio placentae whose etiology is unknown. Key words couvelaire uterus, uteroplacental apoplexy, placental abruption. Pdf on mar 31, 2014, manju rathi and others published couvelaire uterus find, read and cite all the research you need on researchgate. Couvelaire uterus or uteroplacental apoplexy is a blood infiltration of the uterine myometrium due to the formation of a massive retroplacental hematoma. Couvelaire uterus is caused when haemorrhage from placental blood vessels seeps into decidua basalis causing placental separation, followed. It is a rare nonfatal complication of severe abruption. The uterus may adopt a bluishpurplish, mottled appearance due to extravasation of blood into uterine muscle.
Introduction couvelaire uterus or utero apoplexy is a rare complication of severe forms of placen tal abruption. Life from a couvelaire uterus postgraduate medical journal. Couvelaire uterus from placental abruption during caesarean delivery, the fundal and anterior view retroplacental clots during caesarean in a patient with couvelaire uterus advertisement. Couvelaire uterus is a phenomenon where in the retroplacental blood may penetrate through the thickness of the wall of the uterus into the peritoneal cavity. Couvelaire uterus the journal of the american osteopathic. Biology of reproduction expression androgen 47, 665675 1992 of an endogenous murine leukemia virusrelated proviral sequence is regulated and primarily restricted to the epididymisvas deferens and oviductuterus1. Couvelaire uterus with coagulopathy is a rare severe forms of placental abruption which has nonfatal. This results due to extravasation of blood into the uterine musculature and beneath the peritoneum and imparting the classical appearance of a dark purple coloured ecchymotic uterus. Initially localized then becomes generalized due to endometrial injury extravasations of blood. Pathophysiology couvelaire uterus is a phenomenon wherein the retroplacental blood may penetrate through the thickness of the wall of the uterus into the peritoneal cavity. Couvelaire uterus is one of the most severe complications in placental detachment. Pdf viable baby from a couvelaire uterus general section.
Couvelaire uterus couvelaire uterus international archives of. Couvelaire uterus definition of couvelaire uterus by. Couvelaire uterus, named after the french obstetrician in view of his research work on the anatomy of pregnant uterus with uterine hemorrhages. The first page of the pdf of this article appears above. Inability of the uterus to involute normally due to tissue fragments definition.
Couvelaire uterus also known as uteroplacental apoplexy is a life threatening condition in which loosening of the placenta abruptio placentae causes. Report of couvelaire uterus without placental abruption. Vaginal bleeding in late pregnancy presented by nirsuba gurung master in nursing women health and development 2. Couvelaire uterus or uteroplacental apople xy is a rare nonfatal complication of abruptio placentae.
From the department of obstetrics and gynecology, georgetown university school of medi cine, george washington university school of medicine, gallinger municipal hospital, and the fater clinic n 1836 jacqueminl pointed out that bluish. A 30yearold female found to have a couvelaire uterus with. Immediate management is usually conservative and hysterectomy is usually not required. Uteroplacental apoplexy is a rare but nonfatal complication of severe forms of placental abruption.
Manju rathi,1 sunil kumar rathi,2 manju purohit,3,4 ashish pathak2,5. Couvelaire uterus is caused when haemorrhage from placental blood vessels seeps into decidua basalis causing placental separation, followed by infiltration in the lateral portions of the uterus. It occurs when vascular damage within the placenta causes hemorrhage that progresses to and infiltrates the wall of the uterus couvelaire uterus. Couvelaire uterus or utero apoplexy is a rare complication of severe fo of placental abruption. An examination of the causes, diagnosis and management of placental abruption.
219 817 1324 90 1078 803 737 172 694 773 266 795 786 325 542 877 144 555 942 827 176 135 548 1497 1024 1317 524 1245 830 1254 93 396 1146 578 1126 1468 999 168 1089 357 978 239 834 436