Document Detail


Spontaneous hemoperitoneum in pregnancy from a ruptured superficial uterine vessel.
MedLine Citation:
PMID:  17389197     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 31-year-old multipara woman pregnant at gestational age 32+ weeks with twins encountered hemoperitoneum resulting from superficial uterine vessel rupture during tocolytic course. The initial presentations were unspecific and sonographic examination was negative. Later the aggravated symptoms led to an impression of abruption placentae and emergent cesarean section was performed. A superficial venous bleeder was located on the posterior uterine wall and the internal bleeding was up to 3 L. Maternal and fetal outcome were good. Hemoperitoneum during pregnancy is rare but life-threatening to both mother and fetus, and it mimics placenta abruption in many ways. However, by careful investigations with cardiotocogram and bedside echo, they are quite distinguishable. Aggressive fluid replacement and immediate surgical intervention after rapid diagnosis provides the best prognosis.
Authors:
Cheng-Yu Wu; Jiann-Loung Hwang; Yu-Hung Lin; Bih-Chwen Hsieh; Kok-Min Seow; Lee-Wen Huang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  46     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-28     Completed Date:  2007-06-12     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  77-80     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Abruptio Placentae / diagnosis
Adult
Diagnosis, Differential
Female
Hemoperitoneum / diagnosis*,  surgery
Humans
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis*,  surgery
Pregnancy, Multiple
Rupture, Spontaneous
Treatment Outcome
Twins
Uterus / blood supply*
Vascular Diseases / diagnosis*,  surgery

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


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