[Spontaneous rupture of utero-ovarian vessels in postpartal period: a case report and review of the literature].
Spontaneous rupture of utero-ovarian veins occurring during pregnancy or the peripartal period is generally considered to be a medical curiosity (approximately 100 reported cases) rarely mentioned in obstetric textbooks. It is nevertheless a dramatic cause of maternal and /or fetal mortality. The available statistics are the following: 60% of the cases are directly related to labor and 50% occur in primiparas; when the rupture is associated with labor, mortality is 40%. Occurring outside of labor, mortality rate is approximatively 10%. The perinatal mortality remains high at 30%; in 75% of the cases, the broad ligament is the site of rupture (in many cases, the site of rupture is not found, at laparotomy or autopsy). We report the case of a patient who developed ovarian vein rupture on the 3rd postpartum day.
Ziereisen
V
V
Service de Gynécologie-Obstétrique, CHU Brugmann, Bruxelles, Belgique.
Bellens
B
B
Gérard
C
C
Baeyens
L
L
D000328:Adult; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D006473:Postpartum Hemorrhage / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D014599:Uterus / Q000098:blood supply*; D014680:Veins