Hardin Nicholas, Delozier Andrew, Torabi Alireza, Laks Shaked
Department of Radiology, Texas Tech University, University Medical Center, El Paso, Texas, USA.
Texas Tech University, Paul L. Foster School of Medicine, El Paso, Texas, USA.
J Radiol Case Rep. 2017 Jan 31;11(1):7-13. doi: 10.3941/jrcr.v11i1.2946. eCollection 2017 Jan.
Spontaneous rupture of a uterine artery in pregnancy is associated with a high rate of mortality. Although uterine artery rupture has been associated with postpartum hemorrhage, it is rarely found during pregnancy. Unfortunately, clinical signs and symptoms are usually vague and nonspecific. We report a case of a 36-year-old woman at 20 weeks gestation presenting with abdominal pain who was found to have a spontaneous uterine artery rupture. To our knowledge, this is the first case report demonstrating imaging findings in a patient with this condition. Our patient underwent successful ligation of the uterine vessel with preservation of both mother and fetus. We will discuss possible etiologies of uterine artery rupture during pregnancy, associated imaging findings, and management options.
妊娠期间子宫动脉自发性破裂与高死亡率相关。尽管子宫动脉破裂与产后出血有关，但在孕期很少被发现。不幸的是，临床症状通常模糊且不具特异性。我们报告一例36岁妊娠20周的女性，因腹痛就诊，被发现有子宫动脉自发性破裂。据我们所知，这是首例展示该病症患者影像学表现的病例报告。我们的患者成功进行了子宫血管结扎术，母婴均得以保全。我们将讨论妊娠期间子宫动脉破裂的可能病因、相关影像学表现及治疗选择。
