Geburtshilfe Frauenheilkd 2015; 75 - P22
DOI: 10.1055/s-0035-1548718

Kline's haemorrhage in pregnant women with thrombophylia und preeclampsia

D Habek 1, M Prka 1, I Marton 1, M Vuković Bobić 2, R Fureš 1
  • 1Universitätsfrauenklinik Medizinische Fakultät Zagreb und Kroatian Katholic Universität Zagreb, Kroatien
  • 2Universitätsfrauenklinik in Kaiser Franz Joseph Spital Wien, Österreich

Kline's intraplacentalal bleeding (“placental Hohlraum”) is due to acute obstructive microangiopathy caused frequently with thrombophylia or antiphospholipid syndrome in the preeclampsia syndrome.

Case presentation:

31-year-old pregnant woman was obtained from 36 weeks in the hospital with a fresh slight bleeding and pain. The course of the pregnancy complicated by mild preeclampsia, treated with methyldopa with normal fetal growth.

Ultrasound findings:

Placental inhomogeneous echotexture with numerous anechoic focal lesions in the parenchyma (Fig. 1) to find no detectable flow with marginal placental abruption. RR 150/90, other vital functions and laboratory findings (coagulation, hepatorenogram) were normal. Through the course of the genital findings and parturition, amniotomy is performed, the cervix to 7 cm, and an hour later with normal cardiotocography vital boys 2400 grams/42 cm, Apgar 9.9 is born. After placental delivery intraplacentar cavernas with semi-liquid blood clots is found with fresh placental abruption haemathoma 4 cm was filled.

Fig. 1

In the late (post puerperal) treatment was thrombophilia with LMWH, which confirmed the formation of these rare complications found.