Spontaneous Rupture of the Uterine Artery in an Otherwise Normal Pregnancy.

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This case report describes a 36-year-old woman at 20 weeks gestation who presented with abdominal pain and was diagnosed with a spontaneous uterine artery rupture, a rare and potentially fatal condition. The authors highlight that clinical signs are often vague and nonspecific, noting this as the first reported case to demonstrate specific imaging findings for this pathology. Successful management involved surgical ligation of the affected vessel, which resulted in the preservation of both the mother and the fetus. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Spontaneous rupture of a uterine artery in pregnancy is associated with a high rate of mortality. Although uterine artery rupture has been associated with postpartum hemorrhage, it is rarely found during pregnancy. Unfortunately, clinical signs and symptoms are usually vague and nonspecific. We report a case of a 36-year-old woman at 20 weeks gestation presenting with abdominal pain who was found to have a spontaneous uterine artery rupture. To our knowledge, this is the first case report demonstrating imaging findings in a patient with this condition. Our patient underwent successful ligation of the uterine vessel with preservation of both mother and fetus. We will discuss possible etiologies of uterine artery rupture during pregnancy, associated imaging findings, and management options.
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Spontaneous Rupture of the Uterine Artery in an Otherwise Normal Pregnancy DOI: https://doi.org/10.3941/jrcr.v11i1.2946Keywords: Uterus, Uterine artery, Rupture, Hemorrhage, SpontaneousAbstract Spontaneous rupture of a uterine artery in pregnancy is associated with a high rate of mortality. Although uterine artery rupture has been associated with postpartum hemorrhage, it is rarely found during pregnancy. Unfortunately, clinical signs and symptoms are usually vague and nonspecific. We report a case of a 36-year-old woman at 20 weeks gestation presenting with abdominal pain who was found to have a spontaneous uterine artery rupture. To our knowledge, this is the first case report demonstrating imaging findings in a patient with this condition. Our patient underwent successful ligation of the uterine vessel with preservation of both mother and fetus. We will discuss possible etiologies of uterine artery rupture during pregnancy, associated imaging findings, and management options.Downloads Published 2017-01-25 Issue Section Obstetric & Gynecologic Radiology License The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.

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