Disseminated intravascular coagulation due to placenta accreta : A case report

Kim, Hyung Tae; Mun, Cheol Sin; Heo, Hyeon Eon; Kim, Kwang Yong; Lee, Jun Hak; Kwon, Young Eun

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2009;4(3):265-268.
Published online July 31, 2009.

Disseminated intravascular coagulation due to placenta accreta : A case report

Hyung Tae Kim, Cheol Sin Mun, Hyeon Eon Heo, Kwang Yong Kim, Jun Hak Lee, Young Eun Kwon

Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea.

Abstract

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.

Key Words: disseminated intravascular coagulation, placenta accreta, postpartum bleeding