Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 9, Number 1, January 2018, pages 34-36

An Unusual Presentation of Acute Subdural Hematoma Secondary to Disseminated Intravascular Coagulation Following Conservative Management of Placenta Increta

Figures

Figure 1.
Figure 1. Postpartum trend of β-hCG levels.
Figure 2.
Figure 2. A CT scan of the brain at presentation. Acute subdural hematoma (SDH) overlying the right cerebral convexity, associated with mass effect and left-ward midline shift.
Figure 3.
Figure 3. A CT scan of the abdomen and pelvis. Enlarged uterus extending above the umbilicus. Markedly hypervascular mass within the uterus with dilated and tortuous vessels coursing the mass.
Figure 4.
Figure 4. A CT scan of the brain 3 weeks post-hysterectomy. Interval expected evolution of previously noted intracranial hemorrhages with improvement in mass effects and left sided midline shift.

Tables

Table 1. Pre-Operative Laboratory Values
 
WBC: white blood cell; PTT: partial thromboplastin time; PT: prothrombin time.
Hemoglobin11.5 g/dL
WBC count6.19 × 109/L
Platelet146 × 109/L
PTT39.2 s
PT16.8 s
Fibrinogen0.49 g/L
D-dimer> 32.00 mg/L FEU

 

Table 2. Resolution of DIVC Following Surgery
 
WBC: white blood cell; PTT: partial thromboplastin time; PT: prothrombin time.
Hemoglobin9.3 g/dL
WBC count8.05 × 109/L
Platelet184 × 109/L
PTT26.2 s
PT10.1 s
Fibrinogen3.19 g/L