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.

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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 Dec. 27];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

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