Document Detail


Hemoperitoneum in pregnancy from a ruptured varix of broad ligament.
MedLine Citation:
PMID:  20198485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of a 31-year-old woman, gravida 4 para 1, pregnant at 33 + 2 weeks of gestational age with acute abdomen due to hemoperitoneum. Hemoperitoneum was suspected for non-specific symptoms such as acute abdominal pain, vomit, cardiotocography alterations and maternal acute anaemia. An emergency caesarean section was performed; 3 L of blood was present in abdomen. Careful exploration of the uterus, placenta, abdominal organs and vessels was negative; only a bleeding from a rupture in a varix of the left broad ligament was observed. Hemoperitoneum due to a ruptured uterine varix in pregnancy is a rare condition. The solution to prevent the development of maternal hypovolemic shock is an immediate surgical intervention. A good foetal prognosis principally depends from gestational age and from good hemodynamic maternal conditions.
Authors:
Simone Giulini; Renata Zanin; Annibale Volpe
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-03
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  282     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-07     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  459-61     Citation Subset:  IM    
Affiliation:
Mother-Infant Department, University of Modena and Reggio Emilia, via Del Pozzo 71, Modena, Italy. sgiulini@unimore.it
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Adult
Broad Ligament / blood supply*
Cesarean Section
Female
Hemoperitoneum / diagnosis*,  etiology*,  surgery
Humans
Pregnancy
Pregnancy Complications / diagnosis*,  surgery
Pregnancy Trimester, Third
Rupture, Spontaneous
Treatment Outcome
Varicose Veins / complications*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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