title: [Diagnostic image (213). A pregnant woman with premature contractions and vaginal blood loss].
abstract: Emergency caesarean section was performed in a 40-year-old woman with solutio placentae. A Couvelaire uterus was diagnosed, showing typical blue-purple discolorations of the uterine wall, which are in fact haemorrhages caused by disseminated intravascular coagulation.
authors.affiliation: Atrium Medisch Centrum, afd. Verloskunde en Gynaecologie, Henri Dunantstraat 5, 6419 PC Heerlen.
authors.forename: I
authors.initials: I
authors.lastname: Michiels
authors.forename: F J M E
authors.initials: FJ
authors.lastname: Roumen
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000037:Abruptio Placentae / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000175:diagnosis*; D004630:Emergencies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis*; D011256:Pregnancy Outcome; D014590:Uterine Contraction; D014592:Uterine Hemorrhage / Q000209:etiology