Tianjin Third Central Hospital, Obstetrics & Gynecology Department, Hedong District, China; Technology Research Central of Public Health Ministry, Tianjin, China.
Eur Rev Med Pharmacol Sci. 2021 Jul;25(13):4451-4455. doi: 10.26355/eurrev_202107_26235.
Hemoperitoneum caused by spontaneous rupture of uterine vessels during delivery is relatively rare in obstetric hemorrhage, and even rarer during the puerperal period. It can be life-threatening without timely diagnosis and treatment; therefore, the literature on this topic is very scarce. To explore its etiology and identify its diagnosis and treatment principle, we are reporting a case of shock caused by spontaneous rupture of uterine vessels admitted in our hospital. Its etiology is still unknown, its presenting symptoms are commonly unspecific, and its diagnosis is often made during the surgery. The rupture of uterine vessels during pregnancy should be differentiated from placental abruption, uterine rupture, placenta implantation through the uterus, and abdominal organ rupture. Active and timely operative intervention can prevent the mortality. This case stresses the need for careful post-delivery monitoring for revealed postpartum hemorrhage. We will discuss possible etiologies of uterine vessels rupture during pregnancy, associated imaging findings, and management options.
分娩时子宫血管自发性破裂引起的血腹在产科出血中相对少见，在产褥期更为罕见。如果不及时诊断和治疗，可能会危及生命；因此，关于这个主题的文献非常稀少。为了探讨其病因，并确定其诊断和治疗原则，我们报告了我院收治的一例因子宫血管自发性破裂引起休克的病例。其病因尚不清楚，临床表现通常不特异，诊断常在手术中进行。妊娠期间子宫血管破裂应与胎盘早剥、子宫破裂、胎盘穿透子宫、腹部器官破裂相鉴别。积极及时的手术干预可以预防死亡。本病例强调了对产后出血的仔细产后监测的必要性。我们将讨论妊娠期间子宫血管破裂的可能病因、相关影像学表现和治疗选择。
