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- Title
HEMOPERITONEO EN EL PUERPERIO DEBIDO A RUPTURA DE VASOS VENOSOS UTERINOS ASOCIADO A ENDOMETRIOSIS. PRESENTACIÓN DE UN CASO Y REVISIÓN DE LA LITERATURE.
- Authors
Portilla-Queved, Diego; Hernández-Giraldo, Cristian; Sarmiento-Hernández, Piedad; Zuluaga-Liberato, Andrea
- Abstract
Objective: To undertake a review of the literature on the epidemiology, etiology, diagnosis and management of uterine vessel ruptures in pregnancy.Materials and methods: A case of a 32 yearold woman with spontaneous hemoperitoneum in the immediate post-partum period secondary to a rupture of superficial uterine vessels at Hospital Universitario Fundación Santa Fe, a high complexity institution that provides care to patients with private contributive health insurance coverage. Emergency laparotomy and hysterectomy were performed with a finding of endometrial tissue in the posterior aspect of the uterus and the posterior cul-de-sac, and active venous bleeding. A search of the literature was done in Medline/Pubmed, Ebsco, Ovid and ProQuest, using the terms "hemoperitoneum", "pregnancy", "uterine vessel rupture" and "endometriosis" with no language limitation and epidemiologic design, published since 1966 to this date. Results: Out of 34 articles of interest, 13 were selected: 1 clinical practice guideline, 2 review articles and 10 case reports. Conclusion: Hemoperitoneum in pregnancy, secondary to uterine vessel rupture is a rare complication of unclear etiology and non-specific clinical presentation. Management requires a multidisciplinary approach with early surgical intervention and correct intravascular volume replacement.
- Subjects
ORGAN rupture; DIAGNOSIS of endometriosis; DIAGNOSIS of female reproductive organ diseases; PELVIC diseases; ABDOMINAL surgery; EPIDEMIOLOGY; DIAGNOSIS
- Publication
Revista Colombiana de Obstetricia y Ginecologia, 2013, Vol 64, Issue 1, p67
- ISSN
0034-7434
- Publication type
Case Study