Department of Gynecology and Obstetrics - University of L'Aquila (Italy), Medical School, University of L'Aquila, L'Aquila, Italy.
Eur Rev Med Pharmacol Sci. 2021 Jul;25(13):4456-4458. doi: 10.26355/eurrev_202107_26236.
Utero-Placental Apoplexy, or Couvelaire Uterus, is a third-trimester major obstetrical complication, occurring especially during labor. It consists of placental abruption followed by an acute intradecidual hemorrhage produced by the rupture of the uterus-placental spiral arterioles leading to a retroplacental hematoma. This hemorrhage infiltrates the uterine wall up to intra- and retro-peritoneal areas. We provide a case report, on which no previous literature is available, of a utero-placental apoplexy during induction of therapeutic abortion.
子宫胎盘卒中，也称库弗莱尔子宫，是一种发生于妊娠晚期的严重产科并发症，尤其多见于分娩过程中。其发病机制为胎盘早剥后继发子宫下段急性阔韧带内出血，是由于子宫胎盘螺旋动脉破裂导致胎盘后血肿形成所致。该血肿可渗透至子宫壁的浆膜下和（或）腹膜后间隙。我们报告了 1 例药物流产引产过程中发生子宫胎盘卒中的病例，目前尚无相关文献报道。
