Spontaneous Uterine Artery Rupture at Delivery

Uterine artery rupture during labour

“…The diagnosis of ruptured uterine vessels has rarely been made preoperatively, especially in cases detected after delivery [10]. This case was diagnosed post-mortem.…”

“…Dextro-rotation of uterus and left occipital position of the fetus could be the possible predispositions for the more frequent left sided involvement [10].…”

An unusual cause of fetomaternal distress at term: uterine vessel rupture in pregnancy

“…While pseudoaneurysm is a recognised complication following a caesarean section, it typically presents as late PPH,1 2 as opposed to acute antepartum or intrapartum bleeding. Published cases on antepartum rupture of the uterine vessels are rarer,3 4 with previous cases being associated with ectopic decidual tissue5 and endometriosis 6. Aneurysms of the uterine artery are indeed unusual, with few reports of identification in the antenatal period 7.…”

Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by Selective Arterial Embolization

“…1 Intraperitoneal hemorrhage, following a vaginal delivery, is a very rare and unanticipated cause of secondary postpartum hemorrhage. Bleeding from utero-ovarian vessels, [2][3][4] ruptured aneurysm of the splenic artery, 5 and the Santorini plexus in the space of Retzius 6 have been reported. Only six cases of spontaneous rupture of uterine artery in puerperium after an uncomplicated vaginal delivery have been reported.…”

“…Only six cases of spontaneous rupture of uterine artery in puerperium after an uncomplicated vaginal delivery have been reported. 3,4 Case A 39-year-old multiparous woman underwent a spontaneous vaginal delivery following induction of labor at 38 weeks' gestation for chronic hypertension with superimposed preeclampsia. The delivery was atraumatic without any perineal or cervical lacerations, but complicated by uterine atony and primary postpartum hemorrhage with 800 mL estimated blood loss.…”