EXAGGERATED PLACENTAL SITE REACTION: A RARE CAUSE OF MASSIVE POST PARTUM HAEMORRHAGE

Sidhu S.*, Ashima, Isaacs R. and Dhar T.

ABSTRACT

Exaggerated placental site reaction (EPSR) is a non-neoplastic condition of intermediate trophoblasts clinically presenting as post-gestational abnormal uterine bleeding (AUB), increase in beta- human chorionic gonadotropin (beta-hCG) or mass lesion in the uterus. In majority of cases a retrospective diagnosis is made after histopathological examination which is also essential to distinguish it from gestational trophoblastic diseases. Here we report a case of term pregnancy presenting with post partum hemorrhage (PPH) due to EPSR and a brief review of literature for this rare finding.

Keywords: Exaggerated placental site reaction, intermediate trophoblast, post partum hemorrhage.