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Bleeding and DIC after C-section.
08/17/2010
Tags: Other   Gynecological   Placenta pathology   DIC   
35-year-old female with active bleeding and DIC after repeat C-section.

Procedure: Exploratory laparotomy and supracervical hysterectomy.

Micro: Sections through the dilated gravid uterine wall show residual decidua with acute inflammation, hemorrhage, and fibrin deposition. Focal placental implantation site is noted. The fetal membrane is tightly adherent to the lower uterine segment. The retained fetal membranes exhibit meconium staining and patchy mild acute chorioamnionitis. H & E stain.

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