A 32 year-old woman is referred to the ICU post caesarean section. She had an uneventful elective caesarian section 10 hours previously. She has been referred because in the last 2 hours she has developed vaginal bleeding, oozing from her epidural site. Her vital signs are unremarkable except for a small oxygen requirement.

The following coagulation results are obtained: Prothombin ratio INR: 4.8*H APTT: 97*H Fibrinogen assay: <0.1*L {g} What is the differential diagnosis and how it can be treated? *This case is by Docplexus Editorial Team for educative purpose only.