Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation
Joint Authors
Suzuki, Takashi
Wagata, Maiko
Konno, Hiroko
Ito, Takahiro
Torii, Yuichi
Murakoshi, Takeshi
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We describe a rare case of Mallory-Weiss tear with massive hematemesis at 38 weeks’ gestation.
A 35-year-old woman presented with epigastralgia followed by massive hematemesis.
An emergency endoscopy indicated active pulsatile bleeding at the esophagocardial junction.
Although an emergency endoscopic hemostasis was successful, late decelerations without acceleration on cardiotocogram were observed.
Therefore, the patient underwent emergency cesarean section, along with blood transfusion, following the endoscopic hemostasis.
The hemoglobin level just before the operation was 5.1 g/dL.
We suspected that massive hematemesis induced maternal acute anemia and hypovolemia, which resulted in a nonreassuring fetal status.
Hence, urgent endoscopic hemostasis, adequate blood transfusion, and emergency cesarean section were needed.
Mallory-Weiss tear during the third trimester may have a possibility of massive hematemesis and urgent blood transfusion, emergency endoscopic hemostasis, and emergency cesarean section may be needed.
American Psychological Association (APA)
Suzuki, Takashi& Wagata, Maiko& Konno, Hiroko& Ito, Takahiro& Torii, Yuichi& Murakoshi, Takeshi. 2015. Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation. Case Reports in Obstetrics and Gynecology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059187
Modern Language Association (MLA)
Suzuki, Takashi…[et al.]. Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation. Case Reports in Obstetrics and Gynecology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059187
American Medical Association (AMA)
Suzuki, Takashi& Wagata, Maiko& Konno, Hiroko& Ito, Takahiro& Torii, Yuichi& Murakoshi, Takeshi. Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation. Case Reports in Obstetrics and Gynecology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059187
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059187