Uterine rupture in a term pregnancy after a previous uterine artery embolization to manage a large fibroid. A case report

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2023-09-01 DOI:10.1016/j.crwh.2023.e00551

Heba Abu Saleem , Nouf Albalwi , Lina Ba'Abbad

{"title":"Uterine rupture in a term pregnancy after a previous uterine artery embolization to manage a large fibroid. A case report","authors":"Heba Abu Saleem , Nouf Albalwi , Lina Ba'Abbad","doi":"10.1016/j.crwh.2023.e00551","DOIUrl":null,"url":null,"abstract":"<div><p>Uterine artery embolization (UAE) is an effective minimally invasive alternative to surgery for the treatment of symptomatic uterine fibroids. Uterine rupture is an obstetrical emergency that requires early diagnosis and prompt management to improve perinatal and maternal outcomes.</p><p>A 33-year-old woman at 37 weeks of gestation who had had previous two uncomplicated vaginal deliveries at term presented with abdominal pain and rupture of membranes. The patient had undergone UAE for the management of a large anterior wall uterine fibroid three years prior to conception. Vaginal examination revealed cord prolapse and ultrasound showed negative fetal heart. Intrauterine fetal demise with cord prolapse was diagnosed. After admission the patient developed vaginal bleeding and features of hypovolemic shock. Urgent laparotomy revealed a ruptured uterus with a large hemoperitoneum and dead fetus in the abdominal cavity.</p><p>Obstetricians should be attentive to the possibility of a spontaneous uterine rupture in pregnant women who have previously undergone UAE for the management of a uterine fibroid.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565681/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Women's Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214911223000759","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Uterine artery embolization (UAE) is an effective minimally invasive alternative to surgery for the treatment of symptomatic uterine fibroids. Uterine rupture is an obstetrical emergency that requires early diagnosis and prompt management to improve perinatal and maternal outcomes.

A 33-year-old woman at 37 weeks of gestation who had had previous two uncomplicated vaginal deliveries at term presented with abdominal pain and rupture of membranes. The patient had undergone UAE for the management of a large anterior wall uterine fibroid three years prior to conception. Vaginal examination revealed cord prolapse and ultrasound showed negative fetal heart. Intrauterine fetal demise with cord prolapse was diagnosed. After admission the patient developed vaginal bleeding and features of hypovolemic shock. Urgent laparotomy revealed a ruptured uterus with a large hemoperitoneum and dead fetus in the abdominal cavity.

Obstetricians should be attentive to the possibility of a spontaneous uterine rupture in pregnant women who have previously undergone UAE for the management of a uterine fibroid.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

在一次大的子宫肌瘤栓塞治疗后，足月妊娠的子宫破裂。病例报告。

子宫动脉栓塞（UAE）是治疗症状性子宫肌瘤的一种有效的微创手术替代方法。子宫破裂是一种产科紧急情况，需要早期诊断和及时管理，以改善围产期和产妇的预后。一位37岁的33岁女性 妊娠周，曾在足月时进行过两次无并发症的阴道分娩，表现为腹痛和胎膜破裂。该患者在受孕前三年接受了子宫前壁大肌瘤的UAE治疗。阴道检查显示脐带脱垂，超声显示胎心阴性。诊断为胎儿宫内死亡伴脐带脱垂。入院后，患者出现阴道出血和低血容量性休克。紧急剖腹探查显示子宫破裂，腹腔内有大量腹腔积血和死胎。产科医生应注意既往接受过阿联酋子宫肌瘤治疗的孕妇自发性子宫破裂的可能性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊