We report a case of a membrane disruption at 19 weeks 3 days of gestation complicated by a consumption coagulopathy with clotting tests suggesting primary fibrinogenolysis rather than a disseminated intravascular coagulation usually seen in such cases. A review of the literature revealed 5 cases of coagulopathy during the second trimester of pregnancy among which only two were suspected to be associated with primary fibrinogenolysis. Management of this coagulopathy is discussed.
Debiève, F., Gibon, M., Thomas, K., & Hubinont, C. (1995). Coagulopathie de consommation durant la grossesse: un cas d’afibrinogénémie du deuxième trimestre. Journal de gynécologie, obstétrique et biologie de la reproduction, 24(8), 860-862. https://hdl.handle.net/2078.5/46408 (Original work published 1995)