Emergency Embolization of a Ruptured Aneurysm of the Internal Iliac Artery by Direct Ultrasound-Guided Puncture: Report of a Case

Vaillant, Michael; Bartoli, Michel; Soler, Raphaël; Barral, Pierre-Antoine; Jacquier, Alexis; Bartoli, G; Magnan, Pierre-Édouard

doi:10.1016/j.avsg.2015.08.027

Cited by 1 publication

(1 citation statement)

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“…However, some states or illnesses such as endometriosis, congenital diseases of connective tissue that result in less valuable artery walls, such as Ehlers-Danlos syndrome type IV, as well as congenital malformations of blood vessels such as aneurysm, including aneurysm of the internal iliac artery, may cause arterial rupture in pregnancy or in non-pregnant patients ( 3 - 8 ).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report

Butorac

Djaković

Košec

et al. 2018

ACC

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SUMMARY – Rupture of the internal iliac artery is a rare complication in pregnancy that is associated with maternal and fetal morbidity and mortality. We present a case of a 30-year-old primipara admitted to our department in 39 th week of gestation after sudden onset of intense abdominal pain. On admission, the patient was pale, tachycardiac, but with normal blood pressure and afebrile. Symptoms of acute abdomen were clear and surgery was indicated. Diagnosis was confirmed during cesarean section. Enlarged gravid uterus compressed the ruptured artery and prevented heavier bleeding. Acute bleeding due to arterial rupture causes severe symptoms, predominantly abdominal pain. Changes in blood count become significant some time after the onset of rupture. As the gravid uterus compressed the arterial rupture, preoperative bleeding was by far less abundant than the bleeding after the baby had been delivered and the size of the uterus decreased. Any cause of acute abdomen during pregnancy (abruption of the placenta, spleen rupture, visceral artery thrombosis) requires urgent surgical treatment, as well as intraoperative and postoperative intensive treatment. Rupture of the internal iliac artery is a rare complication in pregnancy, but has to be considered as a differential diagnosis of abdominal pain.

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Section: Introductionmentioning

confidence: 99%