{Reference Type}: Case Reports
{Title}: Two cases of spontaneous rupture of the uterine artery in the perinatal period: A case report.
{Author}: Hu L;Ning J;Li L;Lu Y;You Y;
{Journal}: Medicine (Baltimore)
{Volume}: 102
{Issue}: 20
{Year}: 2023 May 19
{Factor}: 1.817
{DOI}: 10.1097/MD.0000000000033692
{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.