Spontaneous rupture of utero-ovarian vessels in pregnancy.
Spontaneous rupture of utero-ovarian vessels in pregnancy is rare and usually involves utero-ovarian veins. Presenting symptoms include acute-onset abdominal pain and maternal hypovolemic shock secondary to haemoperitoneum. Although this condition had been documented over a century ago, an accurate diagnosis is rarely reached prior to laparotomy due to a multitude of other surgical and obstetrical presentations that may pose a similar clinical picture. In such an event an emergency exploratory laparotomy followed by caesarean section with ligation of the uterine vessels can help in preventing a maternal mortality.
Department of Women's Health, William Harvey Hospital, Kent, UK.
Shamila Ijaz
SI
Munir
Tammy
T
Lo
John
J
Seaton
D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D008026:Ligation; D010053:Ovary / Q000098:blood supply* / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012422:Rupture, Spontaneous; D014599:Uterus / Q000098:blood supply* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods