An unusual cause of fetomaternal distress at term: uterine vessel rupture in pregnancy. (30th August 2015)

• Record Type: Journal Article
• Authors: Calcott, Guy Anthony; Gaber, Mohammed; Freedman, Jonathan; Patni, Shalini
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-08-30
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-209004
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.