Resident, Department of Obstetrics and Gynecology.
Medical Student, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
Obstet Gynecol Surv. 2022 Apr;77(4):227-233. doi: 10.1097/OGX.0000000000001012.
Spontaneous perinatal rupture of a uterine vessel is a rare occurrence that may lead to severe hemorrhage and requires prompt identification and management.
The aim of this study was to examine the etiologies, locations, diagnostic tools, treatment options, and risks in subsequent pregnancies when spontaneous rupture of a uterine vessel occurs in pregnancy.
A literature search was performed by university research librarians using the PubMed, CINAHL, and Web of Science search engines. Identified were 78 cases of perinatal spontaneous uterine vessel rupture and formed the basis for this review.
Increased uterine blood flow during pregnancy may alter the integrity of pelvic vessels leading to increased risk of spontaneous rupture. The uterine artery is the most common site of vessel rupture; the second most common site is the uterine-ovarian plexus. The most common presentation is abdominal or pelvic pain, maternal vital sign abnormalities, and an absence of vaginal bleeding. Exploratory laparotomy and embolization (interventional radiology) have been reported as management options.
Spontaneous rupture of uterine vessels is a rare but potentially life-threatening complication of pregnancy that should be included in the differential diagnosis of pregnant patients presenting with an acute abdomen.
Our aim is to increase the awareness of spontaneous vessel rupture during pregnancy to improve detection, management, and perinatal outcomes.
自发性围产期子宫血管破裂是一种罕见的情况，可能导致严重出血，需要及时识别和处理。
本研究旨在探讨妊娠期间自发性子宫血管破裂的病因、部位、诊断工具、治疗选择以及对后续妊娠的风险。
由大学研究馆员使用 PubMed、CINAHL 和 Web of Science 搜索引擎进行文献检索。确定了 78 例围产期自发性子宫血管破裂病例，作为本综述的基础。
妊娠期间子宫血流增加可能会改变骨盆血管的完整性，从而增加自发性破裂的风险。子宫动脉是血管破裂最常见的部位；其次常见的部位是子宫-卵巢丛。最常见的表现是腹痛或盆腔痛、母体生命体征异常和无阴道出血。剖腹探查术和栓塞（介入放射学）已被报道为治疗选择。
自发性子宫血管破裂是妊娠的一种罕见但潜在危及生命的并发症，应包括在表现为急性腹痛的孕妇的鉴别诊断中。
我们的目的是提高对妊娠期间自发性血管破裂的认识，以改善检测、管理和围产期结局。
