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]).

Fig. 1 Left-sided nontraumatic juxtaisthmic uterine rupture with aberrant aneurysmatic arterial anomaly.

Publikationsverlauf

Artikel online veröffentlicht:
10. Januar 2022

• 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