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Obstet Gynecol. 2004 May;103(5 Pt 2):1089-91.

Spontaneous rupture of the uterine vessels in pregnancy.

Author information

1
Department of Obstetrics and Gynecology, Great Western Hospital, Swindon, United Kingdom.

Erratum in

  • Obstet Gynecol. 2005 Jan;105(1):222. Kulkarni, Anapurna [corrected to Kulkarni, Aparna].

Abstract

BACKGROUND:

Hemoperitoneum resulting from spontaneous rupture of the uterine vessels in pregnancy is rare and associated with high maternal and fetal mortality.

CASE:

A woman presented with acute abdominal pain and hypovolemic shock at 20 weeks of gestation. Immediate laparotomy revealed massive hemoperitoneum resulting from spontaneous rupture of the left uterine vessels associated with a left adnexal mass consisting of decidualized endometriosis. The fetus was delivered by hysterotomy, hemostasis was achieved, and the woman made a good recovery.

CONCLUSION:

We report a case of hemoperitoneum in pregnancy that resulted from spontaneous rupture of the uterine vessels associated with decidualized endometriosis.

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