Hémopéritoine exceptionnel du troisième trimestre de la grossesse

Aïssi, Germain; Gaudineau, A.; Trieu, N.-T.; Sananès, Nicolas; Boisramé, Thomas; Stoll, Friederike; Koch, A.; Favre, R.; Nisand, I.

doi:10.1016/j.gyobfe.2013.09.008

Cited by 1 publication

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“…Most of these are in the context of uterine varicose veins or minor trauma leading to a sudden anteroposterior movement of a gravid uterus [4]. Many authors suspect that there may be a physiological component to the vascular rupture of uterine vessels [5]. The risk of rupture may be augmented by the increase in venous pressure in the utero-ovarian vessels during pregnancy due to hormonal and mechanical changes, the absence of valves in these vessels, the weakness of the vessel walls caused by atrophy of muscular layer and the free anatomises of the utero-ovarian vessels in the broad ligament [6].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Bilateral Broad Ligament Rupture Associated with a Connective Tissue Disorder

Weber¹

2017

JGWH

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Background: Hemoperitoneum secondary to spontaneous rupture of uterine vessels in the broad ligament during pregnancy usually results from trauma or varicose vein dilatation, leading to uterine vessel rupture.Case: A 33-year-old primigravida presented to the hospital for abdominal pain. Fetal distress led to an urgent caesarean. Abdominal exploration revealed hemoperitoneum secondary to bilateral lesion of the broad ligament and abnormal hysterotomia extension. The patient was referred for genetic evaluation of connective tissue disease. A fibrillin-1 (FBN-1) mutation was discovered; a mutation associated with Marfan syndrome. Conclusion:Although this patient had no other signs suggesting Marfan syndrome, the FBN-1 mutation may explain the bilateral broad ligament rupture without trauma. We recommend screening for connective tissue disease in patients with this complication.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Bilateral Broad Ligament Rupture Associated with a Connective Tissue Disorder

Weber¹

2017

JGWH

View full text Add to dashboard Cite

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Hémopéritoine exceptionnel du troisième trimestre de la grossesse

Cited by 1 publication

References 8 publications

Spontaneous Bilateral Broad Ligament Rupture Associated with a Connective Tissue Disorder

Spontaneous Bilateral Broad Ligament Rupture Associated with a Connective Tissue Disorder

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