• Ann Emerg Med · Jul 1992

    Case Reports

    Painless abruptio placentae associated with disseminated intravascular coagulation and syncope.

    • C C Mechem, R K Knopp, and D Feldman.
    • Department of Emergency Medicine, Valley Medical Center, Fresno, California.
    • Ann Emerg Med. 1992 Jul 1; 21 (7): 883-5.

    AbstractAbruptio placentae is a complication of pregnancy associated with significant morbidity and mortality for both fetus and mother. The presence of uterine pain and tenderness traditionally has been considered a useful criterion for distinguishing abruptio placentae from other causes of bleeding in pregnancy. We report the case of a 25-year-old woman who presented with painless abruptio placentae and coagulopathy during the second trimester. This case illustrates the importance of considering this diagnosis in pregnant patients with vaginal bleeding.

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