Abstract
A hematoma in the uterus or intrauterine hematoma is an effusion of blood that accumulates inside the uterine cavity during gestation. Hematomas, especially subchorionic hematomas, appear most often during the first trimester of pregnancy and can occur with or without vaginal bleeding. They are always a major cause for concern for pregnant women. We will consider pregnancy as a high risk pregnancy. It will then be necessary for the woman to keep rest and benefit from more exhaustive follow-up. This work, carried out from a case observed in our service and from a review of the literature, aims to highlight the existence of this entity and the possible unfavorable development with fetal and maternal risks.
Highlights
A hematoma in the uterus or intrauterine hematoma is an effusion of blood that accumulates inside the uterine cavity during gestation
We report in this article the case of a patient with a subchorionic hematoma diagnosed from the start of pregnancy on ultrasound and we will try through this case report and a review of the literature to emphasize the importance of this entity whose progression may be unfavorable
Obstetric ultrasound objectified the presence of a subchorionic hematoma occupying the entire posterior wall of the uterus (Figure 1) with a trophoblast of anterior insertion; pregnancy being progressive in relation to amenorrhea
Summary
A hematoma in the uterus or intrauterine hematoma is an effusion of blood that accumulates inside the uterine cavity during gestation. We report in this article the case of a patient with a subchorionic hematoma diagnosed from the start of pregnancy on ultrasound and we will try through this case report and a review of the literature to emphasize the importance of this entity whose progression may be unfavorable. Obstetric ultrasound objectified the presence of a subchorionic hematoma occupying the entire posterior wall of the uterus (Figure 1) with a trophoblast of anterior insertion; pregnancy being progressive in relation to amenorrhea. The fetus was in the breech position and presented an IUGR (biometry of 25 weeks) with an amniotic index of Phelan reduced to 4.3 cm and a subchorial hematoma of 12 cm of major axis on obstetric ultrasound. S Kouas et al / GSC Biological and Pharmaceutical Sciences, 2020, 12(02), 074–079 Figure 2 Macroscopic appearance of the placenta with a voluminous hematoma on the fetal side of the placenta
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
