[Consumption coagulopathy during pregnancy: a case of afibrinogenemia during the second trimester].
We report a case of a membrane disruption at 19 weeks 3 days of gestation complicated by a consumption coagulopathy with clotting tests suggesting primary fibrinogenolysis rather than a disseminated intravascular coagulation usually seen in such cases. A review of the literature revealed 5 cases of coagulopathy during the second trimester of pregnancy among which only two were suspected to be associated with primary fibrinogenolysis. Management of this coagulopathy is discussed.
Debiéve
F
F
Service d'Obstétrique, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Bruxelles, Belgique.
Gibon
M
M
Thomas
K
K
Hubinont
C
C
D000037:Abruptio Placentae / Q000150:complications* / Q000628:therapy; D000328:Adult; D000347:Afibrinogenemia / Q000097:blood / Q000150:complications*; D001780:Blood Coagulation Tests; D016913:Blood Component Transfusion; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000097:blood / Q000150:complications*; D005260:Female; D006801:Humans; D010949:Plasma; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000097:blood / Q000628:therapy; D011262:Pregnancy Trimester, Second