A Case of Unusual Obstetric Coagulopathy

Summary

A case of unusual obstetric coagulopathy is described. A woman near term of a normal pregnancy contracted severe damage to muscles and other tissues. The infant, placenta and uterine function remained unimpaired.

Subsequently to the trauma the patient developed transitoric myoglobinuria and three days later after an otherwise normal delivery a severe hemorrhage occured, which was caused by hypofibrinogenemia. A possible fibrinogenolytic part in this condition is discussed.

A lower nephron nephrosis syndrome developed, which was similar to the syndrome in abruptio placentae. It is considered that the hypofibrinogenemia in this case developed on the basis of a defibrination and dissemination of fibrin in the sense of Schneider.

 

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