Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Emek Doger,Yigit Cakiroglu,Gulseren Yucesoy,Eray Caliskan,Sule Yildirim Kopuk,Bertan Akar

doi:10.1155/2013/596707

Emek Doger, Yigit Cakiroglu + Show 4 more

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https://doi.org/10.1155/2013/596707

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Abstract

Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.

Highlights

Hemoperitoneum in pregnancy is a rare but a dramaticlife threatening complication that results from ruptured uterine vessels [1]
Even though the etiology is poorly understood, sudden rise in venous pressure turning out to vessel rupture and decidualised endometriosis invading vessel wall may be counted as responsible risk factors
We present a case of a twin pregnancy complicated with hemoperitoneum following in vitro fertilization cycle (IVF) as a result of utero-ovarian vein branch rupture

Summary

Objective

Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs

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