Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Autor: Emek Doger, Yigit Cakiroglu, Sule Yildirim Kopuk, Bertan Akar, Eray Caliskan, Gulseren Yucesoy
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Obstetrics and Gynecology, Vol 2013 (2013)
Druh dokumentu: article
ISSN: 2090-6684
2090-6692
DOI: 10.1155/2013/596707
Popis: Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.
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