title: [Case report: 40-year-old patient with massive bleeding undergoing cesarean section].
abstract: We report a case of a 40-year-old patient suffering major bleeding when undergoing cesarean section for delivery with placenta previa. After surgery the patient suffered from severe bleeding several times and again underwent surgery with abdominal packing. After an abdominal compartment syndrome and an ARDS a post transfusion purpura was found to be the cause of the repeated bleeding and could successfully be treated with a cycle of plasmapheresis.
authors.forename: Rainer
authors.initials: R
authors.lastname: Thomas
authors.forename: Serge
authors.initials: S
authors.lastname: Thal
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D003131:Combined Modality Therapy / Q000379:methods; D058450:Endotamponade / Q000379:methods; D005260:Female; D006801:Humans; D010923:Placenta Previa / Q000601:surgery; D010956:Plasmapheresis / Q000379:methods*; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000628:therapy*; D011247:Pregnancy; D011693:Purpura / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome