Couvelaire uterus with concealed abruptio placenta: A case report

Abstract

Couvelaire uterus or uteroplacental apoplexy is a severe form of abruption where there is widespread extravasation of blood into the uterine musculature and beneath the serosa. It is one of the complication of abruption placentae in which myometrial wall is infiltrated by blood leading to classic ecchymotic uterus appearance. In our case, there was concealed abruption placentae with no significant predisposing factor being revealed in history. Preoperatively, there was retroplacental clot with couvelaire uterus but with no post operative complication.