Massive Intrapritoneal Hemorrhage after Placental Abruption

A placental abruption or abruptio placentae (where in the placental lining has separated from the uterus of the mother) is one of the complications caused by trauma during pregnancy. It lets the blood flow to infiltrate in the uterine lining and to develop Couvelaire uterus (also known as uteroplacental apoplexy) and uterine atony (a condition in which a woman's uterine muscles lose the ability to contract after childbirth); however, it rarely develops considerable hemoperitoneum which needs hysterectomy. In this report, a unique case of placental abruption caused by trauma in a 28-year-old Afghan woman is introduced in which severity and duration of trauma because of delay in reaching health equipped center led to developing massive hemoperitoneum (infiltration of great amount of blood into the abdominal cavity) and its complications.