This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Couvelaire uterus present in: 
Select and explain. 
A. Placenta praevia, B. Abruptio placentae, C. Vas praevia, D. All of the above
B: Abruptio placentae
Answer: B: Abruptio placentae 
Explanation: (Abruptio placentae) (256-Dutta 6th)COUVELAIRE UTERUS (Utero-placental apolexy) is met with in association with sever form of concealed abruptio placentae. There is massive intravasation of blood in the uterine musculature upto the serous coat.* The condition can only be diagnosed on laparotomy."Thus, the presence of couvelaire uterus as observed during caesarean section is not an indication per se for hysterectomy"