Severe Maternal Pre- and Postpartum Intra-Abdominal Bleeding due to Deciduosis.
The term "deciduosis" is used to describe the severe pregnancy-associated occurrence of ectopic decidua with a usually asymptomatic course. We report on two cases of massive maternal intra-abdominal bleeding due to such symptomatic changes. The complications arose at different time points for the two cases: prepartum (26th week of pregnancy) or, respectively, - reported here for the first time - seven days postpartum. As well as differential diagnostic aspects we describe the management of the disease and its possible effects on subsequent pregnancies.
Department of Obstetrics and Gynaecology, University Hospital Oldenburg, Oldenburg.
D W
DW
Lüdders
University Hospital Oldenburg, Institute for Pathology, Oldenburg.
R-P
RP
Henke
Department of Obstetrics and Gynaecology, University Hospital Oldenburg, Oldenburg.
M
M
Saba
Department of Obstetrics and Gynaecology, University Hospital Oldenburg, Oldenburg.
L
L
Raddatz
Department of Obstetrics and Gynaecology, University Hospital Oldenburg, Oldenburg.
A
A
Soliman
Department of Obstetrics and Gynaecology, University Hospital Oldenburg, Oldenburg.
E
E
Malik
childbed; deciduosis; intra-abdominal bleeding; pregnancy