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Spontaneous Rupture of Uterine Vessels during 3rd Trimester of Pregnancy

Perinatology 2020년 31권 3호 p.137 ~ 139
김태영, 김윤하, 김종윤, 김아미, 양윤미, 윤혜경, 박서영, 박수진, 방희영,
소속 상세정보
김태영 ( Kim Tae-Young ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
김윤하 ( Kim Yoon-Ha ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
김종윤 ( Kim Jong-Woon ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
김아미 ( Kim A-Mi ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
양윤미 ( Yang Yoon-Mi ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
윤혜경 ( Yoon Hye-Kyung ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
박서영 ( Park Seo-Yeong ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
박수진 ( Park Su-Jin ) - Chonnam National University Medical School Department of Obstetrics and Gynecology
방희영 ( Bang Hee-Young ) - Chonnam National University Medical School Department of Obstetrics and Gynecology

Abstract


A 37-year-old pregnant woman, para 3, was transferred to our hospital at 30 weeks of gestational age with severe acute abdomen. Ultrasonography of the abdomen confirmed that body fluid around the uterus was retained. Paracentesis was performed and she was diagnosed with hemoperitoneum. Exploratory laparotomy was performed and arterial bleeding from the posterior of left round ligament was found. Spontaneous rupture of uterine vessel in pregnancy is associated with a high rate of mortality. Unfortunately, clinical symptoms of hemoperitoneum are non-specific. For the well-being of the mother and fetus, rapid diagnosis and surgical treatment of hemoperitoneum during pregnancy is needed. Non-invasive and easy-to-implement ultrasonography can be performed periodically to help diagnose quickly.

키워드

Hemoperitoneum; Pregnancy; Uterine vessel; Rupture

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