Spontaneous Rupture of Subserous Uterine Vein in a 35-Weeks Pregnant Woman Who Presented with Massive Hemoperitoneum

摘要

Background: Hemoperitoneum is a life-threatening complication if it occurs during pregnancy. Ruptured uterine veins, arteries, or uterovarian vessels are among the rare causes of this condition. Case: A spontaneous rupture of a subserous uterine vein occurred at 35 weeks of gestation in a 32-year-old woman after development of an acute abdomen. Abdominal exploration revealed an intact uterus with no definite bleeding point apart from the congested subserous vein on the lower uterine segment. Successful delivery of the fetus and resuscitation of the mother were performed. Results: The patient's postoperative course was uneventful, and she was discharged on the sixth day, in good condition, with her infant. Conclusions: Sudden onset of abdominal pain and signs of hypovolemic shock with no external bleeding can indicate intraperitoneal hemorrhage. Abdominal exploration is urgently needed to evaluate the cause of hemorrhage and stop the source of bleeding. (J GYNECOL SURG 34:46)