An unusual cause of fetomaternal distress at term: uterine vessel rupture in pregnancy.
This report describes a case of spontaneous bleeding from uterine vessels presenting as hyperstimulation and fetomaternal distress at term. A 40-week primigravid woman underwent an emergency caesarean section for fetal distress, which unexpectedly revealed a spontaneous haemoperitoneum. Clinical assessment and investigations postoperatively gave a diagnosis of a right-sided uterine artery aneurysm that, it was believed, had ruptured, causing the haemoperitoneum. This was successfully treated postnatally using interventional radiological techniques leading to expeditious maternal recovery and discharge home.
Department of Obstetrics and Gynaecology, Shrewsbury and Telford Hospitals NHS Trust, Telford, UK.
Guy Anthony
GA
Calcott
Department of Obstetrics and Gynaecology, Heart of England NHS Trust, Birmingham, UK.
Mohammed
M
Gaber
Department of Interventional Radiology, Heart of England NHS Trust, Birmingham, UK.
Jonathan
J
Freedman
Department of Feto-maternal Medicine, Heart of England NHS Trust, Birmingham, UK.
Shalini
S
Patni
D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005296:Ferrous Compounds / Q000008:administration & dosage; D005316:Fetal Distress / Q000000981:diagnostic imaging* / Q000209:etiology; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012422:Rupture, Spontaneous / Q000601:surgery; D047929:Term Birth; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods*; D014597:Uterine Rupture / Q000000981:diagnostic imaging* / Q000601:surgery
D000900:Anti-Bacterial Agents; D005296:Ferrous Compounds; C020748:ferrous sulfate