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Obstetrics & Gynecology 1975;45:467-469
© 1975 by The American College of Obstetricians and Gynecologists
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INTRAVASCULAR HEMOLYSIS: A COMPLICATION OF MIDTRIMESTER ABORTION

A Report of Two Cases

Akinori Adachi, MD, FACOG, Morton Spivack, MD and Leo Wilson, MD, FACOG

From the Department of Obstetrics and Gynecology and Hematology, Montefiore-Morrisania Affiliation, Morrisania City Hospital, Bronx, New York

Abstract

Intravascular hemolysis occurred twice in a series of 1582 consecutive intraamniotic midtrimester saline abortions. The hemolysis was associated with consumption coagulopathy and acute renal failure. Both patients made a complete recovery after a prolonged hospital stay; one required peritoneal dialysis. The pathogenesis of this serious complication of saline abortion is discussed hut no satisfactory explanation has been reached.






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Copyright © 1975 by the American College of Obstetricians and Gynecologists.