| Spontaneous uterine artery rupture during pregnancy in a woman with sickle cell disease: a case report. | |
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MedLine Citation:
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PMID: 17847767 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Spontaneous rupture of uterine vessels during pregnancy is rare and usually involves uteroovarian veins. Presenting symptoms include acute-onset abdominal pain and maternal hypovolemic collapse due to hemoperitoneum. An atypical case of subacute uterine artery rupture at 27 weeks of gestation occurred in a woman with sickle cell disease. CASE: A 28-year-old, nulliparous woman with sickle cell disease was admitted at 27 weeks of gestation for sharp abdominal pain radiating to the right flank. The first diagnosis included acute renal colic and a sickling vasoocclusive crisis. One week after admission the patient experienced paroxysmal, diffuse abdominal pain associated with acute fetal distress requiring an emergency cesarean section. Laparotomy revealed an 800-mL hemoperitoneum. Active bleeding from a ruptured uterine artery was observed and successfully treated by selective suture. CONCLUSION: Spontaneous rupture of the uterine artery during pregnancy may present as a 2-step process. |
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Authors:
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Olivia Fiori; Hervé Prugnolles; Emile Darai; Serge Uzan; Nadia Berkane |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 52 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-09-12 Completed Date: 2007-10-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 657-8 Citation Subset: IM |
Affiliation:
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Service of Gynecology and Obstetrics and Reproductive Medicine, Hôpital Tenon, Paris, France. ofiori@freesurf.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anemia, Sickle Cell / complications* Arteries / pathology* Female Hemoperitoneum / etiology Humans Pregnancy Pregnancy Complications / pathology* Rupture, Spontaneous Uterus / blood supply* |
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