Útero de Couvelaire y Óbito Fetal tras desprendimiento Normoplacentario en embarazo de 31.5 semanas

Abstract

Female patient of 31 years old, who is in her second pregnancy, currently 31.5 weeks of pregnancy with no medical or family history of importance, who has about 6 hours ago abdominal pain, cramping, located in the lower abdomen and irradiated region lumbar, high intensity +++ / +++ (hand intensity from 0 to three crosses), its accompanied by vaginal bleeding, glittering red in small quantities, why go to health center where evaluating Quero and refer to emergency service HPDA so it is entered the service of Gynecology and Obstetrics. With a Pregnancy diagnosed of 31.5 weeks + placental abruption + fetal death, so that emergency caesarean section was performed, finding a womb Couvelaire more stillbirth procedure continues with Hysterectomy, the service is requested interconsultation Intensive Care who value and enter that area, diagnosed with hypovolemic shock, Hysterectomy, placental abruption, renal failure.