A Rare Cause of an Acute Abdomen in Late Pregnancy

Simpson, Ian; Ng, Alfred; Griffin, Christopher

doi:10.1111/j.1479-828x.1995.tb02161.x

Cited by 15 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Maternal death is commonly due to massive hemorrhage and accompanying hemorrhagic shock and consumptive coagulopathy. Maternal hemodynamic decompensation will lead to an acute decrease in uteroplacental perfusion, resulting in ''fetal distress'' and, ultimately, fetal demise (25). If splenic rupture is suspected, an emergent explorative laparotomy is indicated to stop the bleeding and to save the fetus, if viable.…”

Section: Resultsmentioning

confidence: 99%

Spontaneous Rupture of the Spleen: A Rare but Serious Case of Acute Abdominal Pain in Pregnancy

Wang

et al. 2011

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Spontaneous Rupture of the Spleen: A Rare but Serious Case of Acute Abdominal Pain in Pregnancy

Wang

et al. 2011

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…4 The uterine arterio-venous malformation is a rare condition and the spontaneous rupture of this was reported by Simpson et al as a cause of an acute abdomen in late pregnancy. 5 An atypical case of sub acute uterine artery rupture was reported in a 28 years old nulliparous lady with sickle cell anemia at 27 weeks pregnancy by Fiori O et al which was successfully treated by selective suture after laparotomy. 6 Aziz U et al reported a case of hemoperitoneum at 20 weeks of gestation resulting from spontaneous rupture of left uterine vessels associated with decidualized endometriosis.…”

Section: Discussionmentioning

confidence: 96%

Fatal non-traumatic spontaneous hemoperitoneum in second trimester of pregnancy – Autopsy findings

Kapila

2011

Journal of Forensic and Legal Medicine

View full text Add to dashboard Cite

“…8 Previously reported cases of uterine AVMs in pregnancy include a patient with an acute abdomen from intra-abdominal rupture at 38 weeks; the neonate survived, and the bleeding was controlled by oversewing the AVM during delivery. 4 Another case at 8 weeks' gestation necessitated hysterectomy for profuse bleeding, which could not be controlled after embolization. 6 In a third case, a patient initially had a spontaneous abortion at 8 weeks, underwent embolization of an AVM, and then became pregnant.…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of a Uterine Arteriovenous Malformation Diagnosed in Pregnancy

Castro-Aragon

Aragon²,

Urcuyo³

et al. 2004

J of Ultrasound Medicine

View full text Add to dashboard Cite

terine arteriovenous malformations (AVMs) are usually diagnosed in women with unexplained vaginal bleeding and are frequently life threatening. 1,2 When AVMs are diagnosed during pregnancy, there is concern that they could grow or bleed.3-6 To our best knowledge, there has been no reported case of an initial diagnosis of an asymptomatic AVM in a pregnant woman with a normal outcome. This case illustrates our experience with conservative management of a uterine AVM.Received February 26, 2004, from the Departments of Radiology (I.C.-A., D.L.) and Obstetrics and Gynecology (J.A.) Case ReportA 29-year-old woman, gravida 1, para 0, with a history of myomectomy 3 years earlier for a large left subserosal fibroid underwent routine first-trimester sonography in Costa Rica. Within the left posterior myometrial wall was a region of cystic spaces measuring 3 × 5 cm in greatest diameter that on color Doppler imaging was filled with turbulent flow with high systolic and diastolic velocities (Figure 1). With a peak systolic velocity (PSV) of 99 cm/s, resistive index (RI) of 0.49, and pulsatility index (PI) of 0.65, the diagnosis of a myometrial AVM was made. The patient was referred to our institution for a second opinion and counseling. An additional sonogram again showed findings of a uterine AVM. Of importance, a small portion of the placental edge was located near the vascular abnormality, but there was myometrium between the blood vessels and most of the placenta (Figure 2). The patient was counseled regarding risks of bleeding for the mother and the fetus during both the pregnancy and delivery. The patient recognized these risks but wanted to continue the pregnancy. A cesarean delivery was planned at term. Further discussions included the potential need for a uterine artery catheterization procedure to expedite embolization if necessary at the time of delivery and potential for a hysterectomy. The patient lived in a rural area of Costa Rica, and she temporarily moved near a tertiary care center for more rapid access to health care if needed.

show abstract

A Rare Cause of an Acute Abdomen in Late Pregnancy

Abstract: A case is presented where spontaneous rupture of a uterine arteriovenous malformation into the peritoneal cavity presented as an acute abdomen with fetal distress in late pregnancy. This is thought to be the first reported case of its type.

Cited by 15 publications

References 13 publications

Spontaneous Rupture of the Spleen: A Rare but Serious Case of Acute Abdominal Pain in Pregnancy

Spontaneous Rupture of the Spleen: A Rare but Serious Case of Acute Abdominal Pain in Pregnancy

Fatal non-traumatic spontaneous hemoperitoneum in second trimester of pregnancy – Autopsy findings

Conservative Management of a Uterine Arteriovenous Malformation Diagnosed in Pregnancy

Contact Info

Product

Resources

About