scholarly journals Spontaneous Rupture of Uterine Veins In Pregnancy

2013 ◽  
Vol 25 (2) ◽  
pp. 85-86 ◽  
Author(s):  
KH Shahnewaj ◽  
Md Al Sayed ◽  
Kauser Jabin
Keyword(s):  
Abdominal Pain ◽  
Maternal Mortality ◽  
Blood Vessels ◽  
Spontaneous Rupture ◽  
Unknown Origin ◽  
High Rate ◽  
Foetal Loss ◽  
Uterine Vessel ◽  
In Pregnancy ◽  
Uterine Vessels

Spontaneous rupture of uterine vessels during pregnancy is a rare cause of shock that has a  high rate of maternal and foetal loss. Though the usual presentation is of maternal shock, it  is necessary to have in mind that possibility of blood vessels rupture may be in cases of  abdominal pain & hypotension of unknown origin during pregnancy. In such an event an exploratory laparatomy followed by caesarean with ligation of the uterine  vessel or its branch can help in preventing a maternal mortality. The advent of modern  resuscitative facilities, anaesthesia techniques have lowered mortality associated with this condition from 49% to 3.6%. DOI: http://dx.doi.org/10.3329/bjog.v25i2.13745 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 85-86  

Spontaneous Rupture of the Uterine Vessels in Pregnancy

2004 ◽  
Vol 103 (Supplement) ◽  
pp. 1089-1091 ◽  
Author(s):  
Uzma Aziz ◽  
Anapurna Kulkarni ◽  
Darko Lazic ◽  
John E. Cullimore
Keyword(s):  
Spontaneous Rupture ◽  
In Pregnancy ◽  
Uterine Vessels

scholarly journals Spontaneous intra-abdominal bleeding in twin pregnancy: Case report

2008 ◽  
Vol 136 (5-6) ◽  
pp. 299-301 ◽  
Author(s):  
Milica Berisavac ◽  
Radmila Sparic ◽  
Miroslava Pervulov ◽  
Ljubica Arsenijevic ◽  
Svetlana Spremovic-Radjenovic ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Twin Pregnancy ◽  
Clinical Symptoms ◽  
Unknown Origin ◽  
Uterine Wall ◽  
Emergency Laparotomy ◽  
Recurrent Bleeding ◽  
Third Trimester ◽  
Abdominal Bleeding ◽  
In Pregnancy

INTRODUCTION Spontaneous rupture of utero-ovarian vessels is a rare cause of haemoperitoneum in pregnancy, leading to significant maternal and foetal morbidity and mortality. Aetiopathogenesis of this condition is still unclear. Establishing clinical diagnosis of this condition is difficult, but very important. Clinical symptoms are nonspecific, and the diagnosis is usually made at laparotomy. CASE OUTLINE We report a case of spontaneous haematoperitoneum in the third trimester of twin pregnancy. Differential diagnosis included uterine rupture and placental abruption. Due to the deteriorated condition of the patient, it was decided to perform laparotomy which established the diagnosis of ruptured venous varices on the posterior uterine wall. Delivery was performed by caesarean section. The postoperative period was uneventful. CONCLUSION The clinical presentation of spontaneous rupture of utero-ovarian blood vessels is not specific and clinical examination and ultrasonographic scanning may be insufficient for diagnosis. Once the diagnosis of spontaneous haematoperitoneum in pregnancy is established, emergency laparotomy is indicated. Following caesarean delivery, it is necessary to establish surgical haemostasis. There are some authors who suggest leaving the pregnancy intact in cases when the fetus is not viable, although one must have in mind the possibility of recurrent bleeding. The safety of this procedure requires further investigation. It is necessary to have in mind the possibility of blood vessel rupture in all cases of abdominal pain and hypotension of unknown origin during pregnancy.

scholarly journals Volvulus, gangrene and perforation of transverse colon in an antepartum eclamptic pregnant patient post caesarean: a case report

2020 ◽  
Vol 9 (8) ◽  
pp. 3505
Author(s):  
Jharna Behura ◽  
Sanjiva Kumar ◽  
Poonam Bagga ◽  
Maruti Sinha
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Surgical Complication ◽  
Fetal Distress ◽  
Pregnant Patient ◽  
Middle Part ◽  
High Rate ◽  
Emergency Laparotomy ◽  
Mortality And Morbidity ◽  
In Pregnancy

Transverse colon volvulus leading to gangrene and perforation is an extremely uncommon acute surgical complication in pregnancy and puerperium, with a very high rate of mortality and morbidity. Surgical resection is the only treatment. Authors present a case of a 20 years. old women, with antepartum eclampsia, who underwent caesarean section for fetal distress. She complained of abdominal pain from second post-operative day. The pain increased in severity and on the third postoperative day, she developed sudden abdominal distention and appeared pale. Ultrasound revealed free intraperitoneal fluid suggestive of hemoperitoneum. An emergency laparotomy was performed. There was about a litre of blood in the peritoneal cavity with clots. The caesarean incision site, uterus adnexa and broad ligaments were all intact. On further exploration, volvulus of the transverse colon was seen along with gangrene and perforation of the middle part of transverse colon. Resection of the gangrenous part was done with closure of the distal loop. Proximal loop was brought out as colostomy. The patient had an uneventful postoperative course thereafter and was discharged on regular diet on 12th postoperative day. Volvulus of transverse colon leading to gangrene is rare in pregnancy and puerperium, but must form part of clinician’s differential diagnosis when encountering a patient with persistent abdominal pain and bowel distention. Early diagnosis and timely surgical intervention could significantly improve the outcome of this catastrophic condition.

scholarly journals Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

POCUS Journal ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Stephen Lammers ◽  
Christopher Hong ◽  
Jared Tepper ◽  
Christy Moore ◽  
Cameron Baston ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Point Of Care ◽  
Pregnant Patient ◽  
Point Of Care Ultrasound ◽  
Third Trimester ◽  
Current Case ◽  
The Third ◽  
In Pregnancy

Background: Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented. Case: The current case report involves a woman who presented with acute abdominal pain in the third trimester of pregnancy and was found to have spontaneous rupture of a fibroid before the onset of labor. Her initial presentation, diagnosis through use of point-of-care ultrasound, acute surgical management, and postoperative course are described. Conclusion: When assessing acute abdominal pain in a pregnant patient, fibroid rupture should be considered despite the absence of prior uterine surgery. Bedside point-of-care ultrasonography is a useful tool for assessment of abdominal pain in the third trimester of pregnancy.

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

2011 ◽  
Vol 41 (5) ◽  
pp. 503-506 ◽  
Author(s):  
Chenhong Wang ◽  
Xinzhi Tu ◽  
Shengli Li ◽  
Guoyang Luo ◽  
Errol R. Norwitz
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Rupture Of The Spleen ◽  
In Pregnancy

Acute abdomen in pregnancy: a retrospective study of pregnant patients hospitalised for abdominal pain

2020 ◽  
Vol 99 (3) ◽  
pp. 131-135
Keyword(s):  
Abdominal Pain ◽  
Clinical Signs ◽  
University Hospital ◽  
Diagnostic Process ◽  
Abdominal Emergency ◽  
Lower Abdominal Quadrant ◽  
Abdominal Emergencies ◽  
The Right ◽  
Abdominal Quadrant ◽  
In Pregnancy

Introduction: Abdominal emergencies occur in pregnant women with the rate of 1:500−635 pregnancies. Such conditions usually develop from full health and worsen rapidly. Symptoms are often similar to those in physiological pregnancy (abdominal pain, vomiting, constipation). The diagnostic process is thus difficult and both the mother and her child are at risk. Our aim was to evaluate the frequency of abdominal emergencies in the Department of Surgery, University Hospital in Pilsen and to consider their impact on pregnancy and on the newborn. Methods: We acquired a set of patients by retrograde collection of data. We searched for pregnant patients suspected of developing an abdominal emergency admitted to the Department of Surgery, Faculty of Medicine, Pilsen between 2004 and 2015. We evaluated a number of clinical signs to statistically describe the set. Results: The set included 121 patients; 42 of the patients underwent a surgical procedure and 79 received conservative treatment. 38 patients underwent appendectomy; 6 appendixes were with no pathologies. McBurney’s incision was an approach of choice in most cases. The most frequent symptom was pain in the right lower abdominal quadrant. The foetus has been lost in none of the cases. Conclusion: Acute appendicitis was the most frequent abdominal emergency in our set and also the most frequent reason for surgical intervention. The most specific sign was pain in the right lower abdominal quadrant. No impact of appendicitis or appendectomy on the health of the newborn has been observed. Even though abdominal emergencies in pregnancy are relatively rare, the results of the department are very good.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

Snakebite during pregnancy

2005 ◽  
Vol 24 (7) ◽  
pp. 341-345 ◽  
Author(s):  
A Sebe ◽  
S Satar ◽  
A Acikalin
Keyword(s):  
Emergency Medicine ◽  
Maternal Mortality ◽  
Successful Treatment ◽  
Fetal Wastage ◽  
Pregnancy Result ◽  
In Pregnancy

Little is known about snakebites during pregnancy and only a few cases have been reported in the literature. The fact that venomous snakebites during pregnancy result in high fetal wastage and may cause maternal mortality makes this an important, albeit, uncommonly encountered entity in emergency medicine. In this paper, we report on the successful treatment of three cases of snakebite in pregnancy.

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