Calcott Guy Anthony, Gaber Mohammed, Freedman Jonathan, Patni Shalini
Department of Obstetrics and Gynaecology, Shrewsbury and Telford Hospitals NHS Trust, Telford, UK.
Department of Obstetrics and Gynaecology, Heart of England NHS Trust, Birmingham, UK.
BMJ Case Rep. 2015 Aug 30;2015:bcr2014209004. doi: 10.1136/bcr-2014-209004.
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 right-sided 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.
本报告描述了一例足月时子宫血管自发性出血，表现为过度刺激和母婴窘迫的病例。一名40周妊娠的初产妇因胎儿窘迫接受了急诊剖宫产，术中意外发现自发性腹腔积血。术后的临床评估和检查诊断为右侧子宫动脉动脉瘤破裂，导致腹腔积血。产后采用介入放射技术成功治疗，产妇迅速康复并出院回家。
