A case of spontaneous rupture of a uterine superficial varicose vein in midgestation

Nakaya, Yoshio; Itoh, Hiroaki; Muramatsu, Keiko; Otome, Masako; Kobayashi, Yukiko; Hirai, Kyuya; Uchida, Toshiyuki; Suzuki, Kazunao; Sato, Kazuhiro; Kanayama, Naohiro

doi:10.1111/j.1447-0756.2010.01489.x

Cited by 18 publications

(17 citation statements)

References 12 publications

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“…Hemoglobin levels did not decrease rapidly which may be due to uterine pressure on the uterine vessel. When acute abdomen is diagnosed, hemoperitoneum should be considered in the differential diagnosis during gestation [15]. Nonspecific symptoms such as acute abdominal pain, vomiting, and maternal acute anemia are signals of hemoperitenoum that should be kept in mind.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Döğer

Çakıroğlu

Köpük

et al. 2013

Case Reports in Obstetrics and Gynecology

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Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Döğer

Çakıroğlu

Köpük

et al. 2013

Case Reports in Obstetrics and Gynecology

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“…However, chemical peritonitis due to hemoperitoneum can affect premature uterine contraction. In addition, labor pain from pushing during the second phase of delivery and can mask the other clinical manifestations of hemoperitoneum [5], which makes diagnosis difficult.…”

Section: Discussionmentioning

confidence: 99%

“…The causes and management of spontaneous hemoperitoneum post second trimester were reviewed (Table 1) [2345678910111213]. …”

Section: Discussionmentioning

confidence: 99%

A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy

et al. 2016

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A 27-year-old pregnant woman, para 1, was transferred to our hospital at 29+3 weeks of gestation complaining of abdominal pain. She was diagnosed with hemoperitoneum based on ultrasonography. An emergency laparotomy was performed, and the bleeding was confirmed to be caused by ruptured surface blood vessels on the uterine fundus. Hemostasis with compression was successfully performed to sustain the pregnancy, and the patient delivered a full-term baby. Spontaneous hemoperitoneum during pregnancy caused by rupture of uterine blood vessels is very rare. It requires rapid diagnosis and surgical treatment because it increases the morbidity of the fetus and mother. In most incidences of spontaneous hemoperitoneum during pregnancy, a cesarean delivery is performed along with a simultaneous emergency laparotomy. However, in this case, the pregnancy was maintained to full term after surgical hemostasis, which prevented neonatal complications due to premature birth.

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“…Classically, treatment is based on the systemic correction of hypovolemia and immediate surgery via laparotomy or laparoscopy in cases in the first trimester of pregnancy for hemostatic purposes [6]. In cases at term usually Cesarean section is performed and in those cases in which the focus of the hemorrhage is not clear sometimes hysterectomy is needed [5, 8–10].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Hemoperitoneum due to Rupture of Uterine Varicose Veins during Labor Successfully Treated by Percutaneous Embolization

Díaz-Murillo

Tobías-González

Lopez-Magallon

et al. 2014

Case Reports in Obstetrics and Gynecology

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Hemoperitoneum during pregnancy is a rare but potentially lethal clinical condition. Improvements in antenatal and intrapartum care, especially in surgical and anesthetic techniques, have reduced maternal mortality; perinatal mortality remains very high (31%). Treatment is based on the systemic correction of hypovolemia and immediate surgery via laparotomy or laparoscopy in cases in the first trimester of pregnancy for hemostatic purposes. Sometimes, hysterectomy is needed. A 35-year-old Asiatic primigravid woman at 37 weeks' gestation with otherwise uneventful pregnancy came to the hospital referring abrupt-onset lumbar and abdominal pain. A bleeding uterine superficial varicocele of about 7 cm was found on the left uterine horn during Caesarean section. Interventional radiologic embolization of both uterine arteries was successfully performed. Posterior evolution of the patient was favorable. Percutaneous vascular embolization of the uterine arteries is an effective alternative treatment for many obstetrical and gynecological causes of bleeding. The main advantage of this technique is the low rate of serious complications and the preservation of reproductive function. To our knowledge, this is the first case of spontaneous intrapartum hemoperitoneum treated with this technique. An early diagnosis and a rapid indication of this therapeutic option are essential. Hemodynamic stability is needed to decide this conservative management.

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A case of spontaneous rupture of a uterine superficial varicose vein in midgestation

Cited by 18 publications

References 12 publications

Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Spontaneous Rupture of Uterine Vein in Twin Pregnancy

A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy

Spontaneous Hemoperitoneum due to Rupture of Uterine Varicose Veins during Labor Successfully Treated by Percutaneous Embolization

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