Abstract
Spontaneous rupture of the uterine artery is a rare cause of hemoperitoneum during pregnancy. This is a life-threatening condition associated with maternal and fetal mortality. We describe a case of spontaneous rupture of the left uterine artery in a 32-year-old healthy pregnant woman with an uneventful pregnancy.
Highlights
Hemoperitoneum due to spontaneous rupture of uterine vessels is a rare but life-threating condition during pregnancy [1, 2]
The origin of the intra-abdominal hemorrhage could have been caused by obstetrical or nonobstetrical conditions [2]
There are only 150 cases described of spontaneous hemoperitoneum in pregnancy secondary to rupture of the uteroovarian vessels or uterine varicose veins, but there is no similar data regarding arterial rupture
Summary
Hemoperitoneum due to spontaneous rupture of uterine vessels is a rare but life-threating condition during pregnancy [1, 2]. The current maternal mortality was reduced due to improved resuscitative, anesthetic, and operative techniques. Perinatal mortality remains high [2]. When assessing a pregnant patient with a sudden abdominal pain with hemodynamic collapse, the rupture of uterine vessels should be hypothesized and excluded [2, 3]
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