Case Report


Acute disseminated intravascular coagulation developed after suction and evacuation in an intrauterine fetal death: A case report

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1 Department of Obstetrics and Gynecology, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia

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Wafa Alshahrani

Department of Obstetrics and Gynecology, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh,

Saudi Arabia

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Article ID: 100216Z08WA2025

doi: 10.5348/100216Z08WA2025CR

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How to cite this article

Alshahrani W, Elsheikh M. Acute disseminated intravascular coagulation developed after suction and evacuation in an intrauterine fetal death: A case report. J Case Rep Images Obstet Gynecol 2025;11(2):38–41.

ABSTRACT


Introduction: Disseminated intravascular coagulation (DIC) is defined as a hypercoagulable state leading to micro and macrovascular clotting compromising the blood flow leading to organ dysfunction. Most patient presenting with DIC will have a history of severe infection, recent trauma, hepatic failure, malignancy, or post-obstetrical bleeding. As the consequences of DIC can be fatal, it is crucial to be recognized as early as possible.

Case Report: We are presenting to you a case of intrauterine fetal death at 19 weeks complicated by DIC due to retained placenta leading to massive blood transfusion and intensive care unit (ICU) admission.

Conclusion: Disseminated intravascular coagulation is one of the complicated of massive uterine hemorrhage and early recognition in important for the patient’s mortality and morbidity.

Keywords: Blood transfusion, Disseminated intravascular coagulation (DIC), Intrauterine fetal death (IUFD), Obstetrical hemorrhage

SUPPORTING INFORMATION


Author Contributions

Wafa Alshahrani - Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mohammed Elsheikh - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Wafa Alshahrani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.