González Rosales Ricardo, Cerón Saldaña Miguel Angel, Ayala Leal Isabel, Cerda López Jorge Alejandro
Hospital General de Matamoros Dr. Alfredo Pumarejo Lafaurie, Tamaulipas, México.
Ginecol Obstet Mex. 2008 Apr;76(4):221-3.
The spontaneous rupture of the uterine vessels during pregnancy is a potentially lethal complication that usually is not suspected as cause of acute abdomen in pregnancy. The clinical presentation is often sudden abdominal pain, accompanied by signs of hypovolemic shock and reduction in hemoglobin levels. The case of a 23-year-old woman at 22 weeks of gestation with acute abdomen is reported, without traumatic antecedents, and signs of hypovolemic shock. During exploratory laparotomy as hemoperitoneum cause, a laceration in the right uterine artery was found. Bleeding vessel was repaired to continue with pregnancy until 38 weeks of gestation.
孕期子宫血管自发性破裂是一种潜在的致命并发症，通常不会被怀疑是孕期急腹症的病因。临床表现常为突发腹痛，伴有低血容量休克体征及血红蛋白水平降低。本文报道了一例22周妊娠的23岁女性，无外伤史，出现急腹症及低血容量休克体征。在因腹腔积血进行剖腹探查时，发现右侧子宫动脉有一处裂伤。修复出血血管后继续妊娠至38周。
