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Spontaneous rupture of uterine surface vessel from a multigravida in spontaneous labor
Juliana Quay1, Azra Naseem2, George Kaladelfos3
1MB ChB, Registrar, Department of Obstetrics and Gynecology, Maitland Hospital, Maitland, NSW, Australia.
2MBBS, FCPS, MRCOG, FRANZCOG, Staff Specialist Consultant, Department of Obstetrics and Gynecology, Maitland Hospital, Maitland, NSW, Australia.
3MBBS, BSc (Hons), FRANZCOG, Specialist Consultant, Department of Obstetrics and Gynecology, Maitland Hospital, Maitland, NSW, Australia.

Article ID: 100016CRINTJQ2015
doi:10.5348/crint-2015-16-CR-11

Address correspondence to:
Juliana Quay
4/21 Ranclaud Street Merewether
Newcastle, New South Wales 2291
Australia
Phone: (0061)478155662

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How to cite this article:
Quay J, Naseem A, Kaladelfos G. Spontaneous rupture of uterine surface vessel from a multigravida in spontaneous labor. Case Rep Int 2015;4:43–46.


Abstract
Introduction: Spontaneous rupture of a uterine vessel during labor is rare.
Case Report: A 41-year-old multigravida presented with spontaneous hemoperitoneum one day after spontaneous vaginal delivery with no prior history of cesarean section. Laparotomy revealed a bleeding vessel on the right lateral posterior aspect of the uterine serosa, which led to hemoperitoneum causing hemorrhagic shock and a spontaneous surgical abdomen.
Conclusion: Uterine surface vessel rupture is rare and difficult to diagnose. However with close observation to vital signs and symptoms, immediate resuscitative efforts could be taken.

Keywords: Hemoperitoneum, Labor, Pregnancy, Spontaneous uterine vessel rupture


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Author Contributions
Juliana Quay – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Azra Naseem – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
George Kaladelfos – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Juliana Quay et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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