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CASE REPORT
An unusual cause of fetomaternal distress at term: uterine vessel rupture in pregnancy
  1. Guy Anthony Calcott1,
  2. Mohammed Gaber2,
  3. Jonathan Freedman3,
  4. Shalini Patni4
  1. 1Department of Obstetrics and Gynaecology, Shrewsbury and Telford Hospitals NHS Trust, Telford, UK
  2. 2Department of Obstetrics and Gynaecology, Heart of England NHS Trust, Birmingham, UK
  3. 3Department of Interventional Radiology, Heart of England NHS Trust, Birmingham, UK
  4. 4Department of Feto-maternal Medicine, Heart of England NHS Trust, Birmingham, UK
  1. Correspondence to Dr Guy Anthony Calcott, gacalcott{at}doctors.org.uk

Summary

This report describes a case of spontaneous bleeding from uterine vessels presenting as hyperstimulation and fetomaternal distress at term. A 40-week primigravid woman underwent an emergency caesarean section for fetal distress, which unexpectedly revealed a spontaneous haemoperitoneum. Clinical assessment and investigations postoperatively gave a diagnosis of a right-sided uterine artery aneurysm that, it was believed, had ruptured, causing the haemoperitoneum. This was successfully treated postnatally using interventional radiological techniques leading to expeditious maternal recovery and discharge home.

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