Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 1 ( January-March, 2018 ) > List of Articles


Chronic Abruption Oligohydramnios Sequence at 16 Weeks Pregnancy with Compensated Severe Anemia

Kanika Chopra, Swati Agrawal, Gunjan Chaudhary

Keywords : Chronic abruption, Chronic abruption oligohydramnios sequence, Oligohydramnios, Second trimester, Severe anemia

Citation Information : Chopra K, Agrawal S, Chaudhary G. Chronic Abruption Oligohydramnios Sequence at 16 Weeks Pregnancy with Compensated Severe Anemia. J South Asian Feder Obs Gynae 2018; 10 (1):63-65.

DOI: 10.5005/jp-journals-10006-1560

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Background: Placental abruption usually presents as an acute event needing emergent measures, but may even present with diverse clinical features. Aim: We report a case of chronic abruption oligohydramnios sequence, a rare entity in itself. Case report: We report an atypical case of a 20-year-old primigravida at 16 weeks of gestation who had complaints of mild pain in the lower abdomen for 1 month and minimal bleeding per vaginum for a day. Her vitals were stable but she was severely pale. On per abdominal examination, uterus was felt corresponding to 20 to 22 weeks gestation and basal tone of uterus was raised. Ultrasound findings revealed a dead fetus of 16 weeks gestation and a large retroplacental clot of 12.5 × 7 cm. The patient was given three units of packed cell volume after which she started having uterine contractions and delivered uneventfully 23 hours after admission. Conclusion: In our case, favorable maternal outcome was because of early diagnosis and treatment of chronic abruption as discussed. Clinical significance: Chronic abruption should be an important differential diagnosis in patients presenting with pain in the abdomen in early pregnancy.

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