Hemoperitoneum due to spontaneous uterine rupture of varicos
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Introduction: Spontaneous rupture of uterine vessels during pregnancy is an exceptional situation.

Case Report: We report a case of massive hemoperitoneum due to spontaneous rupture of uterine varicose veins, occurring in a patient with twin pregnancy at 38 weeks gestation. The patient presented abdominal pain associated with a sudden drop in blood pressure and severe decompensated anemia. Ultrasound scan revealed in-utero fetal demise of the twins with a peritoneal effusion. An emergency laparotomy followed by a cesarean section confirmed the diagnosis, etiology and management with a favorable maternal outcome.

Conclusion: Spontaneous rupture of uterine varicose veins during pregnancy is a rare condition. Clinicians should be aware with this rare condition as delayed diagnosis can be fatal for mother and fetus. The definitive diagnosis of this condition is often made intraoperatively. However, the clinical presentation with ultrasound scanning is very important in planning the management of this condition....

http://www.edoriumjournals.com/journal-of-case-reports-and-images-in-obstetrics-and-gynecology/archive/2016-archive/100017Z08MT2016-thiam/100017Z08MT2016-thiam-full-text.php
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