%0 Case Reports
%T Two cases of spontaneous rupture of the uterine artery in the perinatal period: A case report.
%A Hu L
%A Ning J
%A Li L
%A Lu Y
%A You Y
%J Medicine (Baltimore)
%V 102
%N 20
%D 2023 May 19
%M 37335718
%F 1.817
%R 10.1097/MD.0000000000033692
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>Case 1 presented with fainting and lower abdominal discomfort, while Case 2 developed hypotension after delivery and remained in poor condition even after rehydration.<BR><B>METHODS: </B>Both cases were diagnosed with uterine artery spontaneous rupture, with intraoperative findings revealing ruptures in different branches of the uterine artery.<BR><B>METHODS: </B>Both cases underwent surgical interventions, with laparoscopic surgery performed in Case 1 and repair of the ruptured artery in Case 2.<BR><B>RESULTS: </B>Both cases had successful outcomes, with the ruptured arteries repaired and the patients discharged from the hospital within a week after surgery.<BR><B>CONCLUSIONS: </B>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.