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  • Title: Spontaneous rupture of the uterine vessels in pregnancy.
    Author: Aziz U, Kulkarni A, Lazic D, Cullimore JE.
    Journal: Obstet Gynecol; 2004 May; 103(5 Pt 2):1089-91. PubMed ID: 15121618.
    Abstract:
    BACKGROUND: Hemoperitoneum resulting from spontaneous rupture of the uterine vessels in pregnancy is rare and associated with high maternal and fetal mortality. CASE: A woman presented with acute abdominal pain and hypovolemic shock at 20 weeks of gestation. Immediate laparotomy revealed massive hemoperitoneum resulting from spontaneous rupture of the left uterine vessels associated with a left adnexal mass consisting of decidualized endometriosis. The fetus was delivered by hysterotomy, hemostasis was achieved, and the woman made a good recovery. CONCLUSION: We report a case of hemoperitoneum in pregnancy that resulted from spontaneous rupture of the uterine vessels associated with decidualized endometriosis.
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