"This condition is managed on a non-operative basis 2-4,5. Hysterectomy is rarely performed for Couvelaire uterus; despite the myometrial haemorrhage and some impairment in tonicity, the uterus retains its contractility 5."
"A French obstetrician Alexandre Couvelaire (1873–1948) 7, was the first to describe this condition in 1911, and coined the term uteroplacental apoplexy, for it 8. A rare example of Stigler law of eponymy being incorrect."
"There is a classical blue/purple colour change of the uterine wall, representing haemorrhage, which may be complicated by disseminated intravascular coagulation 3-6,9. The bleeding into the wall can also affect the ability of the uterus to contract effectively leading to uterine atony."
"The imaging appearances of Couvelaire uterus reflect haemorrhage into the myometrium. The endometrial cavity remains empty as bleeding does not extend into it. Rarely the haemorrhage may extend into the ovaries, broad ligament or even peritoneum; haemoperitoneum was first reported in 2016 9,10."
"This condition is managed on a non-operative basis 2-4,5. Hysterectomy is rarely performed for Couvelaire uterus; despite the myometrial haemorrhage and some impairment in tonicity, the uterus retains its contractility 5."