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

Type of publication:
Journal article

Calcott G.A., Gaber M., Freedman J., Patni S.

BMJ Case Reports, August 2015, vol./is. 2015

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 rightsided 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.

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