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Obstetrics & Gynecology 2004;103:1089-1091
© 2004 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Spontaneous Rupture of the Uterine Vessels in Pregnancy

Uzma Aziz, MBBS, MRCOG, Anapurna Kulkarni, MBBS, MRCOG, Darko Lazic, MRCPath and John E. Cullimore, MD, FRCOG

Department of Obstetrics and Gynecology, Great Western Hospital, Swindon, United Kingdom

Address reprint requests to: Dr. John E. Cullimore, Consultant Obstetrician and Gynecologist, Department of Obstetrics and Gynecology, The Great Western Hospital, Swindon & Marlborough NHS Trust, Marlborough Road, Swindon, SN3 6BB; e-mail: John{at}cullimorej.fsnet.co.uk.

BACKGROUND: Hemoperitoneum resulting from spontaneous rupture of the uterine vessels in pregnancy is rare and associated with high maternal and fetal mortality.

CASE: A woman presented with acute abdominal pain and hypovolemic shock at 20 weeks of gestation. Immediate laparotomy revealed massive hemoperitoneum resulting from spontaneous rupture of the left uterine vessels associated with a left adnexal mass consisting of decidualized endometriosis. The fetus was delivered by hysterotomy, hemostasis was achieved, and the woman made a good recovery.

CONCLUSION: We report a case of hemoperitoneum in pregnancy that resulted from spontaneous rupture of the uterine vessels associated with decidualized endometriosis.




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