Clinical Evaluation of Scar Pregnancy Induced PreHemorrhagic DIC: A Case Report

I’m writing to give a thorough account of a scar pregnancy case at our hospital that involved DIC.In order to summarize our experiences and lessons learned, we thoroughly examined the patient’s treatment and recuperation. The 28-year-old pregnant woman was diagnosed scar pregnancy I,according to the clinicalclassification.Preoperative catheterization indicated soy sauce urine. Catheterization revealed soy sauce pee prior to the procedure. The vein was extracted without coagulation, and it was discovered that the uterine scar diverticulum had accumulated 1500 ml of blood and the gestational sac throughout the procedure,and APTT>300 s,Fib 0.35 g/L,TT-RATIO>300; D-D 166.11 ug/ ml↑,PLT 52×10^9/L,FDP 40ug/ml,DIC is clearly diagnosed° The following factors were thought to be connected to it:1. Placental abruption: In addition to the abdominal pain, the patient also had vaginal bleeding. This procedure is thought to be comparable to placental abruption. Blood builds up in scar diverticula during pregnant tissue abruption,rupturing and separating muscle fibers. The placental villi and decidua at the detachment site discharge a significant amount of tissue thromboplastin into the mother’s bloodstream as a result of this procedure.

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Publication Details

Journal
Journal of Clinical Obstetrics and Gynecology Research
Published
2025-07-25
DOI
https://doi.org/10.52338/jocogr.2025.5019
Primary Topic
Ectopic Pregnancy Diagnosis and Management
Type
article
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article

Clinical Evaluation of Scar Pregnancy Induced PreHemorrhagic DIC: A Case Report

Xiaohua Ding, Peipei Chen, Peiru Zhang
Journal of Clinical Obstetrics and Gynecology Research
Ectopic Pregnancy Diagnosis and Management
article

Clinical Evaluation of Scar Pregnancy Induced PreHemorrhagic DIC: A Case Report

Xiaohua Ding, Peipei Chen, Peiru Zhang
article en

Abstract

I’m writing to give a thorough account of a scar pregnancy case at our hospital that involved DIC.In order to summarize our experiences and lessons learned, we thoroughly examined the patient’s treatment and recuperation. The 28-year-old pregnant woman was diagnosed scar pregnancy I,according to the clinicalclassification.Preoperative catheterization indicated soy sauce urine. Catheterization revealed soy sauce pee prior to the procedure. The vein was extracted without coagulation, and it was discovered that the uterine scar diverticulum had accumulated 1500 ml of blood and the gestational sac throughout the procedure,and APTT>300 s,Fib 0.35 g/L,TT-RATIO>300; D-D 166.11 ug/ ml↑,PLT 52×10^9/L,FDP 40ug/ml,DIC is clearly diagnosed° The following factors were thought to be connected to it:1. Placental abruption: In addition to the abdominal pain, the patient also had vaginal bleeding. This procedure is thought to be comparable to placental abruption. Blood builds up in scar diverticula during pregnant tissue abruption,rupturing and separating muscle fibers. The placental villi and decidua at the detachment site discharge a significant amount of tissue thromboplastin into the mother’s bloodstream as a result of this procedure.

Journal of Clinical Obstetrics and Gynecology ResearchVol. 12(1)
Openalex Percentile: Top 62%
Ectopic Pregnancy Diagnosis and Management
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