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.

Publication History

Article published online:
10 January 2022

• References

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