Uteroplacental apoplexy or Couvelaire uterus is a rare complication in the spectrum of the life-threatening placental abruption. We report a 29-year-old pregnant woman who had a placental abruption complicated with the rare condition of Couvelaire uterus, with an delivery per uterus-sparring cesarean section. The early diagnosis and proper medical management of placental abruption through uterus-sparring cesarean section present the best outcome for mother and child.
