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Gastric Rupture Associated With Pregnancy

Departments of Obstetrics & Gynecology and Surgery, Aultman Health Foundation, Canton, Ohio

Address reprint requests to: Michael A. Krew, MD, Aultman Health Foundation, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, 2600 Sixth Street, SW, Canton, OH 44710; E-mail: mkrew{at}aultman.com.

ABSTRACT

BACKGROUND: Spontaneous gastric rupture during pregnancy is rare.

CASE: A young primigravida delivered a 34-week stillborn infant. Shortly after delivery, she developed signs of hypovolemic shock. Ultrasound examination showed a large amount of free intra-abdominal fluid. At laparotomy, gastric rupture was encountered and repaired. Congenital eventration of the left hemidiaphragm was also noted. After a complicated postoperative course, the patient recovered and has done well.

CONCLUSION: Rapid surgical intervention for gastric rupture associated with pregnancy is necessary for maternal survival.

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				T. D. Luu, V. S. Reddy, D. L. Miller, and S. D. Force Gastric Rupture Associated With Diaphragmatic Hernia During Pregnancy Ann. Thorac. Surg., November 1, 2006; 82(5): 1908 - 1910. [Abstract] [Full Text] [PDF]