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Couvelaire uterus is a rare, non-fatal but severe complication of placental abruption.
Its incidence is ~5% in all cases of placental abruption 1.
It is caused by the seeping of blood/hematic infiltrate into the decidua basalis emerging as massive hematoma retroplacentally.
There is a classical blue/purple color change of the uterus wall, representing hemorrhage induced by disseminated intravascular coagulation 3-5.
Ultimately it may result in placental separation.
Treatment and prognosis
This condition is managed on a non-operative basis 2-4.
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