Spontaneous rupture of the uterine artery in connection with pregnancy
Authors:
P. Gloserová 1; G. Hensel 1,2; M. Košťál 1,2
Authors‘ workplace:
Porodnicko-gynekologická klinika Pardubické nemocnice, Nemocnice Pardubického kraje, přednosta doc. MUDr. M. Košťál, CSc.
1; Fakulta zdravotnických studií Univerzity Pardubice, děkan prof. MUDr. J. Fusek, DrSc.
2
Published in:
Ceska Gynekol 2018; 83(2): 127-132
Overview
Objective:
To present two cases of spontaneous uterine artery rupture in connection with pregnancy, accompanied by life endangering bleeding. In the first case we talk about a thirty-three years old primigravida nullipara in the 20th week of pregnancy. In the second case there is a woman, who gave spontaneous birth in the 36th week of pregnancy.
Design:
Case report.
Setting:
Department of Obstetrics and Gynecology, Pardubice Hospital.
Methods:
Own observation.
Conclusion:
Spontaneous rupture of the uterine artery in connection with pregnancy is a rare complication that can be fatal for mother and fetus. Clinical symptoms are often nonspecific, diagnostics is difficult, and diagnosis is often made during the surgery. It is necessary to include this rare complication in the differential diagnosis in pregnant women with abdominal pain and haemoperitoneum of unknown etiology and in postpartal women with an unknown source of bleeding.
Keywords:
spontaneous uterine artery rupture, pregnancy, hemoperitoneum, hemorrhagic shock, endometriosis, life endangering bleeding, childbirth
Sources
1. Akowuah, E., Angelini, G., Bryan, AJ. Open versus endovascular repair of traumatic aortic rupture: a systematic review. J Thorac Cardiovasc Surg, 2009, 138(3), p. 768–769.
2. Becker, R., Kowalsky, BL., Hatzmann, W. Rupture of the uterine artery after spontaneous delivery with unusual course in childbed. Z Geburtshilfe Neonatol, 2002, 206(3), p. 107–113.
3. Belluci, MJ., Burke, M., Querusio, L. A traumatic rupture of utero-ovarian vessels during pregnancy: a lethal presentation of maternal shock. Ann Emerg Med, 1994, 23, p. 360–362.
4. Bueno, LP., Folch, BF., Pallarés, IJ., et al. Haemoperitoneum after spontaneous vaginal delivery due to uterine artery pseudoaneurysm rupture. J Obstet Gynaecol, 2016, 36, p. 670.
5. Garcia-Bournissen, F., Shrim, A., Kořen, G. Safety of gadolinium during pregnancy. Can Fam Physician, 2006, p. 309.
6. Ginsburg, KA., Valdes, C., Schnider, G. Spontaneous utero-ovarian vessel rupture during pregnancy: Three case reports and a review of the literature. Obstet Gynecol, 1987, 69, p. 474–476.
7. Gunnarsson, K., Wanhainen, A., Djavani Gidlund, K., et al. Endovascular versus open repair as primary strategy for ruptured abdominal aortic aneurysm: a national population-based study. Eur J Vasc Endovasc Surg, 2016, 51(1), p. 22–28.
8. Hájek, Z. Porodnictví, 3., zcela přepracované vydání. Praha: Grada Publishing, 2014, s. 34.
9. Hardin, N., Delozier, A., Torabi, A., Laks, S. Spontaneous rupture of the uterine artery in an otherwise normal pregnancy. J Radiol Case Reports, 2017, 11, p. 7–8.
10. Chung Fat, B., Terzibachian, JJ., Lovera, JC., et al. Décès maternel après rupture spontanée d´une artère utérine dans le post-partum immédiat: à propos d´un cas. Gynécol Obstét Fertil, 2008, 36, p. 1010.
11. Janicki, TI., David, LJ., Skaf, R. Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion. Fertil Steril, 2002, 78, p. 879–880.
12. Lubner, M., Menias, C., Rucker, C., et al. Blood in the belly: CT findings of hemoperitoneum. Radiographics. 2007, 27(1), p. 109–125.
13. Nagayama, C., Gibo, M., Nitta, H., et al. Rupture of pseudoaneurysm after vaginal delivery successfully treated by selective arterial embolization. Arch Gynecol Obstet, 2011, 283, p. 37–40.
14. Nirmala, D., Neetu, S., Nidhi, R., et al. Spontaneous uterine artery rupture at delivery. J Obstet Gynec India, 2013, 63(1), p. 73.
15. Pařízek, A. Kritické stavy v porodnictví. Kamenice: Mother-Care-Centrum Publishing. Praha: Galén, 2012, s. 77.
16. Rolná, M., Matlák, P., Dvořáčková, J. Placenta percreta a její atypická lokalizace jako příčina silného nitrobřišního krvácení. Čes Gynek, 2017, 82, č. 6, s. 478–481.
17. Sadro, CT., Dubinsky, TJ. CT in pregnancy: risks and benefits. Applied Radiology, 2013, 42(10), p. 6–16.
18. Swaegers, MC., Huaspy, JJ., Buytaert, PM., DeMaesenger, MG. Spontaneous rupture of the uterine artery in pregnancy. Eur J Obstet Gynecol Reprod Biol, 1997, 75, p. 145–146.
19. Van Beek, SC., Conijn, AP., Koelemay, MJ., Balm, R. Endovascular aneurysm repair versus open repair for patients with a ruptured abdominal aortic aneurysm: a systematic review and meta-analysis of short-term survival. Eur J Vasc Endovasc Surg, 2014, 47(6), p. 593–602.
20. Velíšková, M., Vlk, R., Halaška, MJ., et al. Ruptura jater u pacientky s fokální nodulární hyperplazií ve 37. týdnu těhotenství – kazuistika. Čes Gynek, 2016, 81, 3, s. 218–221.
21. Ziereisen, V., Bellens, B., Gérard, C., Baeyens, L. Spontaneous rupture of utero-ovarian vessels in postpartal period: a case report and review of the literature. J Gynecol Obstet Biol Reprod, 2003, 32, p. 51.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2018 Issue 2
Most read in this issue
- Musculoskeletal system functional disorders in pregnancy
- Results of the treatment in selected infertile patients with high density of endometrial NK cells CD56+ and CD16+ Second part
- Cerebral venous thrombosis during pregnancy
- Reducing of cesarean section rate in Krajská nemocnice Liberec – Robson classification