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. Couvelaire uterus is a lifethreatening condition in which loosening of the placenta abruptio. Couvelaire uterus also known as uteroplacental apoplexy is a life threatening condition in which loosening of the placenta abruptio placentae causes. 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 article about couvelaire uterus by the. Obstetric haemorrhage ranks as the first cause of maternal mortality accounting for 25 50 % of maternal deaths 3.
An examination of the causes, diagnosis and management of. Couvelaire uterus definition of couvelaire uterus by. Uteroplacental apoplexy is a rare but nonfatal complication of severe forms of placental abruption. Couvelaire uterus definition of couvelaire uterus by the. Pdf on mar 31, 2014, manju rathi and others published couvelaire uterus find, read and cite all the research you need on researchgate. Coagulation defects associated with premature separation of. Couvelaire uterus is a rare nonfatal placenta abruption with diagnosis made by visual inspection or biopsy. It occurs when vascular damage within the placenta causes hemorrhage that progresses to and infiltrates the wall of the uterus 1.
Couvelaire uterus definition of couvelaire uterus at. 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. Manju rathi,1 sunil kumar rathi,2 manju purohit,3,4 ashish pathak2,5. Couvelaire uterus synonyms, couvelaire uterus pronunciation, couvelaire uterus translation, english dictionary definition of couvelaire uterus. Abstract a case of couvelaire uterus with placenta accreta found during scheduled repeat low transverse. It is a rare nonfatal complication of severe abruption. Couvelaire uterus definition at, a free online dictionary with pronunciation, synonyms and translation. It is a clinical diagnosis made during visual inspection of the uterus. Couvelaire uterus or uteroplacental apoplexy is a blood infiltration of the uterine myometrium due to the formation of a massive retroplacental hematoma.
Couvelaire uterus or utero apoplexy is a rare complication of severe fo of placental abruption. Couvelaire uterus is one of the most severe complications in placental detachment occurring in 0. 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. Couvelaire uterus with coagulopathy is a rare severe forms of placental abruption which has nonfatal. Couvelaire uterus or uteroplacental apoplexy is a blood infiltration of the uterine myometrium due to the formation of a. Vaginal bleeding in late pregnancy presented by nirsuba gurung master in nursing women health and development 2. 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. Pdf viable baby from a couvelaire uterus general section.
Diagnosis is made on visual inspection of the uterus. The first page of the pdf of this article appears above. Couvelaire uterus or uteroplacental apoplexy is a rare complication of severe forms of placental abruption. A case report abstract couvelaire uterus is rare in modern obstetrics, a state of the hematic. Couvelaire uterus is caused when haemorrhage from placental blood vessels seeps into decidua basalis causing placental separation, followed. D large, retroplacental sonographic abruption between the placenta and uterus. Links to pubmed are also available for selected references. Couvelaire uterus from placental abruption during caesarean delivery, the fundal and anterior view retroplacental clots during caesarean in a patient with couvelaire uterus advertisement. A 30yearold female found to have a couvelaire uterus with. It was first described by couvelaire in the early 1900s as uteroplacental apoplexy, later it was termed as. Key words couvelaire uterus, uteroplacental apoplexy, placental abruption. Initially localized then becomes generalized due to endometrial injury extravasations of blood. Introduction couvelaire uterus or utero apoplexy is a rare complication of severe forms of placen tal abruption. Uteroplacental apoplexy couvelaire syndrome springerlink.
Immediate management is usually conservative and hysterectomy is usually not required. Having couvelaire uterus without any evidence of abruption. Inability of the uterus to involute normally due to tissue fragments definition. An examination of the causes, diagnosis and management of placental abruption. Couvelaire uterus is caused when haemorrhage from placental blood vessels seeps into decidua basalis causing placental separation, followed by in. I drank celery juice for 7 days and this is what happened no juicer required. Couvelaire uterus synonyms, couvelaire uterus antonyms.
Couvelaire uterus or uteroplacental apoplexy is a rare complication of abruptio placentae whose etiology is unknown. 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 uteroplacental apople xy is a rare nonfatal complication of abruptio placentae. Couvelaire uterus is one of the most severe complications in placental detachment. 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. Asymmetry of the uterus in early pregnancy sciencedirect. 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. Couvelaire uterus couvelaire uterus international archives of. Couvelaire uterus the journal of the american osteopathic. Couvelaire uterus, named after the french obstetrician in view of his research work on the anatomy of pregnant uterus with uterine hemorrhages. 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. A billable code is detailed enough to be used to specify a medical diagnosis. Report of couvelaire uterus without placental abruption.