Subscribe to RSS
DOI: 10.1055/a-1634-1465
Juxtaisthmic uterine rupture caused by arterial aneurysm
Case Presentation
We report on a 29-year-old parturient (G2, P1) after normal pregnancy with term spontaneous normal labor, who developed severe intrapartum shock without prior uterotonic stimulation or fundal (Kristeller’s) pressure. Immediately after the vaginal birth of a healthy eutrophic child, a peripartum supracervical hysterectomy was performed due to massive intra-abdominal bleeding. Spontaneous left-sided juxtaisthmic uterine rupture was found as well as a pathomorphologically proven ruptured left-sided isthmic arterial aneurysmal conglomerate together with a thinned matrix wall ([Fig. 1]).
Publication History
Article published online:
10 January 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Mazzone ME, Woolever J. Uterine rupture in a patient with an unscarred uterus: a case study. World Med J 2006; 105: 64-66
- 2 Schlütter JM, Johansen G, Helmig RB. et al. Two cases of true uterine artery aneurysms diagnosed during pregnancy. Gynecol Obstet Invest 2017; 82: 102-104
- 3 Usman R, Jamil M, Rasheed M. True aneurysm of the uterine artery in a young nulliparous female: an extremely rare vascular entity. Ann Vasc Dis 2018; 11: 542-544
- 4 Koller Th. Lehrbuch der Geburtshilfe, Bd. II. Karger, Basel; 1948: 1016-1017