| Spontaneous rupture of subserous uterine veins during late pregnancy after in vitro fertilization. | |
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MedLine Citation:
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PMID: 19463999 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To report the clinical presentation and treatment of spontaneous rupture of uterine surface veins during late pregnancy after in vitro fertilization (IVF). DESIGN: Case report. SETTING: Medical Unit of Third Hospital of Peking University, Beijing, China. PATIENT(S): A total of 573 pregnancies resulting from IVF in our hospital were reviewed for examples of spontaneous rupture of uterine veins. INTERVENTION(S): Data were obtained from medical charts, delivery summaries, and surgical reports in the historical files. MAIN OUTCOME MEASURE(S): Explorative laparotomy was performed. RESULT(S): Three women were found experiencing significant intra-abdominal bleeding in the third trimester of pregnancy due to a lesion resulting from endometriosis and chronic pelvic inflammatory disease. The intra-abdominal bleeding occurred between 29 and 35 weeks of gestation. A major prenatal symptom was severe abdominal pain in all of the cases. The pain was not relieved by the application of tocolytics or mild analgesics. Explorative laparotomy, performed in all three cases, revealed the presence of massive intra-abdominal bleeding stemming from subserous uterine veins. Fetal death occurred in one case. Immediate institution of effective resuscitative measures and early surgical intervention were essential to both fetal and maternal survival. CONCLUSION(S): Patients undergoing IVF treatment may be at increasing risk for intra-abdominal bleeding in the third trimester of pregnancy. |
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Authors:
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Yan Zhang; Yangyu Zhao; Yuan Wei; Rong Li; Jie Qiao |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-05-21 |
Journal Detail:
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Title: Fertility and sterility Volume: 92 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-06-29 Completed Date: 2009-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 395.e13-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Third Hospital of Peking University, Beijing, People's Republic of China. zhangyann01@163.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Apgar Score Blood Loss, Surgical Blood Transfusion Cesarean Section Emergencies Female Fertilization in Vitro / adverse effects* Humans Infant, Newborn Male Pregnancy Pregnancy Complications / diagnosis*, surgery Pregnancy Trimester, Third Rupture, Spontaneous / diagnosis*, surgery Treatment Outcome Uterus / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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