Seon Cha Ae, Krew Michael A, Tamlyn Todd, Gill Prabhcharan
Department of Obstetrics & Gynecology, Aultman Health Foundation, Canton, Ohio 44710, USA.
Obstet Gynecol. 2002 Nov;100(5 Pt 2):1072-4.
Spontaneous gastric rupture during pregnancy is rare.
A young primigravida delivered a 34-week stillborn infant. Shortly after delivery, she developed signs of hypovolemic shock. Ultrasound examination showed a large amount of free intra-abdominal fluid. At laparotomy, gastric rupture was encountered and repaired. Congenital eventration of the left hemidiaphragm was also noted. After a complicated postoperative course, the patient recovered and has done well.
Rapid surgical intervention for gastric rupture associated with pregnancy is necessary for maternal survival.