Massive subchorionic haemorrhage: a rare case report associated with secondary PPH due to uterine artery pseudoaneurysm

Authors

  • J. Arumaikannu Institute of Obstetrics and Gynecology, Egmore, Chennai, Tamil Nadu, India
  • S. Usha Rani Institute of Obstetrics and Gynecology, Egmore, Chennai, Tamil Nadu, India
  • T. S. Aarifa Thasleem Institute of Obstetrics and Gynecology, Egmore, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174475

Keywords:

Massive subchorionic haemorrhage, Secondary PPH, Uterine artery pseudoaneurysm

Abstract

Massive subchorionic hemorrhage is a rare but serious condition in pregnancy in which a large amount of blood, mainly maternal collects between the uterine wall and the chorionic membrane and may leak through the cervical canal. Although many associations have been reported, an underlying etiology has not been elucidated. Association of massive subchorionic hemorrhage with thrombophilias have been reported in few articles. We are reporting a case of massive subchorionic hemorrhage presented at 13 weeks of gestation associated with secondary post-partum hemorrhage due to uterine artery pseudoaneurysm.

Author Biography

J. Arumaikannu, Institute of Obstetrics and Gynecology, Egmore, Chennai, Tamil Nadu, India

obstetrics and gynecology

References

Windrim C, Athaide G, Gerster T, Kingdom JC. Sonographic findings and clinical outcomes in women with massive subchorionic hematoma detected in the second trimester. J Obstet Gynecol Can. 2011;33(5):475-9.

Chhabra A, Lin EC. Subchorionic Hemorrhage Imaging. Available at: http://emedicine.medscape. com/article/404971-overview. Accessed on 3 June 2017.

Leite J, Ross P, Rossi AC, Jeanty P. Prognosis of Very Large First-Trimester Hematomas. J Ultrasound Med. 2006;25:1441-5.

Ball RH, Ade CM, Schoenborn JA, Crane JP. The clinical significance of ultransonographically detected subchorionic hemorrhages. Am J Obstet Gynecol. 1996;174(3):996-1002.

Nagy S, Bush M, Stone J, Lapinski RH, Gardó S. Clinical significance of subchorionic and retroplacental hematomas detected in the first trimester of pregnancy. Obstet Gynecol. 2003;102(1):94-100.

Pedersen JF, Mantoni M. Prevalence and significance of subchorionic hemorrhage in threatened abortion: a sonographic study. AJR Am J Roentgenol. 1990;154(3):535-7.

Ylöstalo P, Ammälä P, Seppälä M. Intrauterine haematoma and placental protein 5 in patients with uterine bleeding during pregnancy. Br J Obstet Gynaecol. 1984;91(4):353-6.

Gupta R, Sharma R, Jain T, Vashisht S. Antenatal MRI diagnosis of massive subchorionic hematoma: a case report. Fetal Diagn Ther. 2007;22:405-8.

Kojima K, Suzuki Y, Makino A, Murakami I, Suzumori K. A case of massive subchorionic thrombohematoma diagnosed by ultrasonography and magnetic resonance imaging. Fetal Diagn Ther. 2001;16:57-60.

Heller DS, Rush D, Baergen RN. Subchorionic hematoma associated with thrombophilia: report of three cases. Pediatr Dev Pathol. 2003;6(3):261-4.

Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: Diagnosis with US and treatment with transcatheter arterial embolization. Radiographics. 2002;221:35–46.

Fung TY, To KF, Sahota DS, Chan LW, Leung TY, Lau TK. Massive subchorionic thrombohematoma: a series of 10 cases. Acta Obstet Gynecol Scand. 2010;89:1357-61.

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Published

2017-09-23

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Section

Case Reports