The paper presents a case of 28-year old pregnant woman, gravida 2 para 1, referred to the hospital at 33 weeks
of gestation because of pregnancy induced hypertension and IUGR. The ultrasound screening, Doppler blood flow
velocimetry, cardiotocography and 24-hour blood pressure monitoring was performed. Shortly after hospital
admission the BP suddenly increased up to 196/137 and the patient reported a solid abdominal pain. Immediately
performed ultrasound revealed a marginal placental abruption and a hematoma of 10 cm in the diameter located
on the posterior uterine wall. During urgent cesarean section a Couvelaire uterus syndrome was diagnosed