Spontaneous Rupture of Uterine Vein in Twin Pregnancy
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A twin pregnancy complicated by hemoperitoneum at 32 weeks gestation was treated with laparotomy to suture a ruptured utero-ovarian vein branch.
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Abstract
Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.
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Cited by (6)
- Spontaneous uterine venous plexus complicated with ovarian rupture in the third trimester of pregnancy: a case report 2023
- The case series of spontaneous hemoperitoneum in third trimester pregnancy 2022
- Acute abdomen in ART pregnancy 2021
- Acute abdomen in ART pregnancy 2021
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis — A systematic review of the recent literature 2017
- Spontaneous rupture of uterine surface vessel from a multigravida in spontaneous labor 2015
Source provenance
- europepmc
- last seen: 2026-06-20T06:14:18.781669+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
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