Document Detail


Spontaneous uterine artery rupture during pregnancy in a woman with sickle cell disease: a case report.
MedLine Citation:
PMID:  17847767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Olivia Fiori; Hervé Prugnolles; Emile Darai; Serge Uzan; Nadia Berkane
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-09-12     Completed Date:  2007-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  657-8     Citation Subset:  IM    
Affiliation:
Service of Gynecology and Obstetrics and Reproductive Medicine, Hôpital Tenon, Paris, France. ofiori@freesurf.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Anemia, Sickle Cell / complications*
Arteries / pathology*
Female
Hemoperitoneum / etiology
Humans
Pregnancy
Pregnancy Complications / pathology*
Rupture, Spontaneous
Uterus / blood supply*

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


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