Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report
Rupture of the internal iliac artery is a rare complication in pregnancy that is associated with maternal and fetal morbidity and mortality. We present a case of a 30-year-old primipara admitted to our department in 39th week of gestation after sudden onset of intense abdominal pain. On admission, t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2018-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/297682 |
| _version_ | 1797207684051632128 |
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| author | Dražan Butorac Ivka Djaković Vesna Košec Miroslav Kopjar Krunoslav Kuna |
| author_facet | Dražan Butorac Ivka Djaković Vesna Košec Miroslav Kopjar Krunoslav Kuna |
| author_sort | Dražan Butorac |
| collection | DOAJ |
| description | Rupture of the internal iliac artery is a rare complication in pregnancy that is associated with maternal and fetal morbidity and mortality. We present a case of a 30-year-old primipara admitted to our department in 39th week of gestation after sudden onset of intense abdominal pain. On admission, the patient was pale, tachycardiac, but with normal blood pressure and afebrile. Symptoms of acute abdomen were clear and surgery was indicated. Diagnosis was confirmed during cesarean section. Enlarged gravid uterus compressed the ruptured artery and prevented heavier bleeding. Acute bleeding due to arterial rupture causes severe symptoms, predominantly abdominal pain. Changes in blood count become significant some time after the onset of rupture. As the gravid uterus compressed the arterial rupture, preoperative bleeding was by far less abundant than the bleeding after the baby had been delivered and the size of the uterus decreased. Any cause of acute abdomen during pregnancy (abruption of the placenta, spleen rupture, visceral artery thrombosis) requires urgent surgical treatment, as well as intraoperative and postoperative intensive treatment. Rupture of the internal iliac artery is a rare complication in pregnancy, but has to be considered as a differential diagnosis of abdominal pain. |
| first_indexed | 2024-04-24T09:26:49Z |
| format | Article |
| id | doaj.art-7c4fdfb0147d40eaa8cbcee923f0c521 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:26:49Z |
| publishDate | 2018-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-7c4fdfb0147d40eaa8cbcee923f0c5212024-04-15T14:51:09ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512018-01-0157.1.15716010.20471/acc.2018.57.01.20Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case ReportDražan Butorac0Ivka Djaković1Vesna Košec2Miroslav Kopjar3Krunoslav Kuna4Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDubrovnik International University, Dubrovnik, CroatiaDepartment of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaRupture of the internal iliac artery is a rare complication in pregnancy that is associated with maternal and fetal morbidity and mortality. We present a case of a 30-year-old primipara admitted to our department in 39th week of gestation after sudden onset of intense abdominal pain. On admission, the patient was pale, tachycardiac, but with normal blood pressure and afebrile. Symptoms of acute abdomen were clear and surgery was indicated. Diagnosis was confirmed during cesarean section. Enlarged gravid uterus compressed the ruptured artery and prevented heavier bleeding. Acute bleeding due to arterial rupture causes severe symptoms, predominantly abdominal pain. Changes in blood count become significant some time after the onset of rupture. As the gravid uterus compressed the arterial rupture, preoperative bleeding was by far less abundant than the bleeding after the baby had been delivered and the size of the uterus decreased. Any cause of acute abdomen during pregnancy (abruption of the placenta, spleen rupture, visceral artery thrombosis) requires urgent surgical treatment, as well as intraoperative and postoperative intensive treatment. Rupture of the internal iliac artery is a rare complication in pregnancy, but has to be considered as a differential diagnosis of abdominal pain.https://hrcak.srce.hr/file/297682Iliac arteryPregnancyAbdominal painAbdomen, acuteCesarean section |
| spellingShingle | Dražan Butorac Ivka Djaković Vesna Košec Miroslav Kopjar Krunoslav Kuna Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report Acta Clinica Croatica Iliac artery Pregnancy Abdominal pain Abdomen, acute Cesarean section |
| title | Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report |
| title_full | Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report |
| title_fullStr | Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report |
| title_full_unstemmed | Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report |
| title_short | Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report |
| title_sort | spontaneous rupture of internal iliac artery in pregnancy case report |
| topic | Iliac artery Pregnancy Abdominal pain Abdomen, acute Cesarean section |
| url | https://hrcak.srce.hr/file/297682 |
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