• Yi Yang, Huiling Zheng, Huijun Ye, Yunxia Lin, Jiali Liu, Ruilan Li, and Lihua Jin.
• Department of Gynaecology and Obstetrics, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
• Medicine (Baltimore). 2023 Dec 8; 102 (49): e36382e36382.

RationaleSubchorionic Hematoma, often referred to as Bruce hematoma, can lead to serious obstetric complications such as intrauterine growth restriction and fetal death, as well as early and late pregnancy miscarriage, placental abruption, and premature rupture of membranes, posing great harm to both mother and fetus.Patient ConcernsAt present, Western medical treatments have not shown satisfactory results, necessitating the discovery of more effective clinical treatment methods.DiagnosesThreatened miscarriage, Subchorionic hematoma, Iron deficiency anemia (mild).InterventionsSanji Peiyuan decoction combined with dydrogesterone.OutcomesFollowing 17 days of treatment with Sanji Peiyuan decoction and oral dydrogesterone tablets, the hematoma was no longer detectable by ultrasound. The patient experienced no symptoms such as abdominal pain, bloating, or vaginal bleeding. She successfully gave birth around her due date, with both the mother and child in good health.LessonsThe combination of Sanji Peiyuan decoction and oral dydrogesterone tablets shows promising clinical efficacy in treating Massive Subchorionic Hematomas. This method merits further clinical research.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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