PDF(Pubmed)
Abstract：
BACKGROUND: Uterine artery spontaneous rupture is a rare but potentially life-threatening complication during pregnancy and puerperium. The lack of typical symptoms makes it difficult to diagnose, which can result in serious consequences for both the mother and fetus.
METHODS: Case 1 presented with fainting and lower abdominal discomfort, while Case 2 developed hypotension after delivery and remained in poor condition even after rehydration.
METHODS: Both cases were diagnosed with uterine artery spontaneous rupture, with intraoperative findings revealing ruptures in different branches of the uterine artery.
METHODS: Both cases underwent surgical interventions, with laparoscopic surgery performed in Case 1 and repair of the ruptured artery in Case 2.
RESULTS: Both cases had successful outcomes, with the ruptured arteries repaired and the patients discharged from the hospital within a week after surgery.
CONCLUSIONS: Uterine artery spontaneous rupture is a rare but potentially life-threatening complication that may present with atypical symptoms. Early diagnosis and prompt surgical intervention are crucial in preventing serious complications for both the mother and fetus. Clinicians should maintain a high level of suspicion for this condition when evaluating patients presenting with unexplained symptoms or signs of peritoneal irritation during pregnancy and puerperium.
METHODS: Case 1 presented with fainting and lower abdominal discomfort, while Case 2 developed hypotension after delivery and remained in poor condition even after rehydration.
METHODS: Both cases were diagnosed with uterine artery spontaneous rupture, with intraoperative findings revealing ruptures in different branches of the uterine artery.
METHODS: Both cases underwent surgical interventions, with laparoscopic surgery performed in Case 1 and repair of the ruptured artery in Case 2.
RESULTS: Both cases had successful outcomes, with the ruptured arteries repaired and the patients discharged from the hospital within a week after surgery.
CONCLUSIONS: Uterine artery spontaneous rupture is a rare but potentially life-threatening complication that may present with atypical symptoms. Early diagnosis and prompt surgical intervention are crucial in preventing serious complications for both the mother and fetus. Clinicians should maintain a high level of suspicion for this condition when evaluating patients presenting with unexplained symptoms or signs of peritoneal irritation during pregnancy and puerperium.
摘要：
背景：子宫动脉自发性破裂是一种罕见但可能危及生命的妊娠和产褥期并发症。典型症状的缺乏使诊断变得困难，这可能会对母亲和胎儿造成严重后果。
方法：病例1表现为昏厥和下腹部不适，而病例2在分娩后出现低血压，即使补液后仍处于不良状态。
方法：两例均诊断为子宫动脉自发性破裂，术中发现子宫动脉不同分支破裂。
方法：两例均接受手术干预，病例1进行腹腔镜手术，病例2进行破裂动脉修复。
结果：两例均成功，动脉破裂修复，患者在手术后一周内出院。
结论：子宫动脉自发性破裂是一种罕见但可能危及生命的并发症，可能表现为不典型症状。早期诊断和及时的手术干预对于预防母亲和胎儿的严重并发症至关重要。在评估妊娠和产褥期出现无法解释的症状或腹膜刺激迹象的患者时，临床医生应高度怀疑这种情况。
方法：病例1表现为昏厥和下腹部不适，而病例2在分娩后出现低血压，即使补液后仍处于不良状态。
方法：两例均诊断为子宫动脉自发性破裂，术中发现子宫动脉不同分支破裂。
方法：两例均接受手术干预，病例1进行腹腔镜手术，病例2进行破裂动脉修复。
结果：两例均成功，动脉破裂修复，患者在手术后一周内出院。
结论：子宫动脉自发性破裂是一种罕见但可能危及生命的并发症，可能表现为不典型症状。早期诊断和及时的手术干预对于预防母亲和胎儿的严重并发症至关重要。在评估妊娠和产褥期出现无法解释的症状或腹膜刺激迹象的患者时，临床医生应高度怀疑这种情况。
