Hemoperitoneum due to spontaneous uterine rupture of varicose veins in a twin pregnancy at term: A clinical case study presentation.
Introduction: Spontaneous rupture of uterine
vessels during pregnancy is an exceptional
situation. Case Report: We report a case of
massive hemoperitoneum due to spontaneous
rupture of uterine varicose veins, occurring
in a patient with twin pregnancy at 38 weeks
gestation. The patient presented abdominal
pain associated with a sudden drop in blood
pressure and severe decompensated anemia.
Ultrasound scan revealed in-utero fetal demise
of the twins with a peritoneal effusion. An
emergency laparotomy followed by a cesarean
section confirmed the diagnosis, etiology and
management with a favorable maternal outcome.
Conclusion: Spontaneous rupture of uterine
varicose veins during pregnancy is a rare
condition. Clinicians should be aware with this
rare condition as delayed diagnosis can be fatal
for mother and fetus. The definitive diagnosis
of this condition is often made intraoperatively.
However, the clinical presentation with
ultrasound scanning is very important in
planning the management of this condition.
Auteur(s) : • M THIAM, MM NIANG, PA BA, L GUEYE, ME FAYE DIEME, M L CISSE
Pages : 44–48.
Année de publication : 2016
Revue : Journal of Case Reports and Images in Obstetrics and Gynecology,
N° de volume : 2
Type : Article
Mise en ligne par : FAYE Marie Edouard