Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report

Authors

  • Muriel Lérias-Cambeiro Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.
  • Anabela Rodrigues Department of Immuno-Hemotherapy. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.
  • Inês Taborda Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.
  • Filipa Lança Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.

DOI:

https://doi.org/10.20344/amp.9795

Keywords:

Blood Coagulation Disorders, Blood Transfusion, Postpartum Hemorrhage, Thrombelastography

Abstract

Postpartum haemorrhage is an important health issue worldwide, and it can be caused by uterine atony, retained placental tissue, trauma or coagulation disorders. Although coagulopathy represents a rare cause, it is a significant contributor to postpartum haemorrhage with poor outcomes. Associated with high morbidity and mortality rates, postpartum haemorrhage demands prevention, prompt diagnosis and effective management. We describe a unique case of severe coagulopathy caused by underestimated blood loss during caesarean section without postpartum bleeding, in which transfusion requirements were thromboelastometry-guided. This case report depicts how an early multidisciplinary approach and patient-centred care in an obstetric emergency contributes to a positive outcome from a challenging situation, enabling the prevention of an imminent, catastrophic haemorrhage.

Downloads

Download data is not yet available.

Downloads

Published

2018-09-28

How to Cite

1.
Lérias-Cambeiro M, Rodrigues A, Taborda I, Lança F. Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report. Acta Med Port [Internet]. 2018 Sep. 28 [cited 2024 Nov. 19];31(9):511-4. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9795

Issue

Vol. 31 No. 9 (2018): September

Section

Case Report

License

All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.

It is the author’s responsibility to obtain approval for the reproduction of figures, tables, etc. from other publications.

Upon acceptance of an article for publication, the authors will be asked to complete the ICMJE “Copyright Liability and Copyright Sharing Statement “(http://www.actamedicaportuguesa.com/info/AMP-NormasPublicacao.pdf) and the “Declaration of Potential Conflicts of Interest” (http:// www.icmje.org/conflicts-of-interest). An e-mail will be sent to the corresponding author to acknowledge receipt of the manuscript.

After publication, the authors are authorised to make their articles available in repositories of their institutions of origin, as long as they always mention where they were published and according to the Creative Commons license.

Crossref
Scopus
Google Scholar
Europe PMC