Hartmann G, Altermann M
Geburtshilfe Frauenheilkd. 1981 Jul;41(7):515-6. doi: 10.1055/s-2008-1037295.
The rare case of a spontaneous rupture of the uterine vein is reported. The diagnosis and the etiology are discussed from a review of the literature and the report of a new case. The case is reported to alert to the possibility of rupture of an uterine vein when acute abdominal symptoms and signs are found during pregnancy and present diagnostic problems of an unclear nature. Early laparotomy is necessary to improve the treatment of the haemorrhagic shock and the maternal mortality. In most cases of antepartum of intrapartum rupture of the uterine vein a Caesarean section and suture ligation of the ruptured vein is adequate treatment. Without prior knowledge of this syndrome a Caesarean hysterectomy was performed in our case.
报道了一例罕见的子宫静脉自发性破裂病例。通过文献回顾及一例新病例报告对诊断和病因进行了讨论。报告该病例旨在提醒，孕期出现急性腹部症状和体征且诊断性质不明时，要警惕子宫静脉破裂的可能性。早期剖腹手术对于改善失血性休克的治疗及降低孕产妇死亡率很有必要。在大多数子宫静脉产前或产时破裂的病例中，剖宫产及对破裂静脉进行缝合结扎是充分的治疗方法。由于此前不了解该综合征，我们的病例实施了剖宫产子宫切除术。
