Mother-Infant Department, University of Modena and Reggio Emilia, via Del Pozzo 71, Modena, Italy.
Arch Gynecol Obstet. 2010 Oct;282(4):459-61. doi: 10.1007/s00404-010-1411-7. Epub 2010 Mar 3.
We present a case of a 31-year-old woman, gravida 4 para 1, pregnant at 33 + 2 weeks of gestational age with acute abdomen due to hemoperitoneum. Hemoperitoneum was suspected for non-specific symptoms such as acute abdominal pain, vomit, cardiotocography alterations and maternal acute anaemia. An emergency caesarean section was performed; 3 L of blood was present in abdomen. Careful exploration of the uterus, placenta, abdominal organs and vessels was negative; only a bleeding from a rupture in a varix of the left broad ligament was observed. Hemoperitoneum due to a ruptured uterine varix in pregnancy is a rare condition. The solution to prevent the development of maternal hypovolemic shock is an immediate surgical intervention. A good foetal prognosis principally depends from gestational age and from good hemodynamic maternal conditions.
我们报告了一例 31 岁女性病例，她在妊娠 33+2 周时因腹腔积血导致急腹症，孕 4 产 1。腹腔积血的非特异性症状包括急性腹痛、呕吐、胎心监护改变和产妇急性贫血。因此进行了紧急剖宫产术，术中发现有 3 升血液。仔细探查子宫、胎盘、腹部器官和血管均未见异常，仅观察到左侧阔韧带静脉瘤破裂出血。妊娠合并子宫静脉瘤破裂出血较为罕见。预防产妇低血容量性休克的方法是立即进行手术干预。胎儿的良好预后主要取决于胎龄和产妇良好的血流动力学状况。
