Spontaneous Hemoperitoneum due to Rupture of Uterine Varicose Veins during Labor Successfully Treated by Percutaneous Embolization
Joint Authors
Díaz-Murillo, Rebeca
López-Magallón, Sara
Tobías-González, Pablo
Bartha, José Luis
Magdaleno-Dans, Fernando
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Hemoperitoneum during pregnancy is a rare but potentially lethal clinical condition.
Improvements in antenatal and intrapartum care, especially in surgical and anesthetic techniques, have reduced maternal mortality; perinatal mortality remains very high (31%).
Treatment is based on the systemic correction of hypovolemia and immediate surgery via laparotomy or laparoscopy in cases in the first trimester of pregnancy for hemostatic purposes.
Sometimes, hysterectomy is needed.
A 35-year-old Asiatic primigravid woman at 37 weeks’ gestation with otherwise uneventful pregnancy came to the hospital referring abrupt-onset lumbar and abdominal pain.
A bleeding uterine superficial varicocele of about 7 cm was found on the left uterine horn during Caesarean section.
Interventional radiologic embolization of both uterine arteries was successfully performed.
Posterior evolution of the patient was favorable.
Percutaneous vascular embolization of the uterine arteries is an effective alternative treatment for many obstetrical and gynecological causes of bleeding.
The main advantage of this technique is the low rate of serious complications and the preservation of reproductive function.
To our knowledge, this is the first case of spontaneous intrapartum hemoperitoneum treated with this technique.
An early diagnosis and a rapid indication of this therapeutic option are essential.
Hemodynamic stability is needed to decide this conservative management.
American Psychological Association (APA)
Díaz-Murillo, Rebeca& Tobías-González, Pablo& López-Magallón, Sara& Magdaleno-Dans, Fernando& Bartha, José Luis. 2014. Spontaneous Hemoperitoneum due to Rupture of Uterine Varicose Veins during Labor Successfully Treated by Percutaneous Embolization. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-482392
Modern Language Association (MLA)
Díaz-Murillo, Rebeca…[et al.]. Spontaneous Hemoperitoneum due to Rupture of Uterine Varicose Veins during Labor Successfully Treated by Percutaneous Embolization. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-482392
American Medical Association (AMA)
Díaz-Murillo, Rebeca& Tobías-González, Pablo& López-Magallón, Sara& Magdaleno-Dans, Fernando& Bartha, José Luis. Spontaneous Hemoperitoneum due to Rupture of Uterine Varicose Veins during Labor Successfully Treated by Percutaneous Embolization. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-482392
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482392