title: Painless abruptio placentae associated with disseminated intravascular coagulation and syncope.
abstract: Abruptio 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.
authors.affiliation: Department of Emergency Medicine, Valley Medical Center, Fresno, California.
authors.forename: C C
authors.initials: CC
authors.lastname: Mechem
authors.forename: R K
authors.initials: RK
authors.lastname: Knopp
authors.forename: D
authors.initials: D
authors.lastname: Feldman
mesh_terms: D000037:Abruptio Placentae / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis*; D011262:Pregnancy Trimester, Second; D013575:Syncope / Q000209:etiology*