Journal of Emergency Practice and Trauma

Spontaneous uterine artery rupture in a non-pregnant woman: A case report

Document Type : Case Report

Authors

Jessica Ann Nathan 1
Valerie Sze Yen Chew 1
Nur Fazlin Ab Manan 2

1 Emergency Department Hospital Kuala Lumpur

2 Emergency Department , Hospital Kuala Lumpur

https://doi.org/0.34172/jept.2022.31
Abstract
Objective: Spontaneous uterine artery rupture in a non-pregnant woman is an extremely uncommon event. To date, there have only been a few cases. Patients often present with acute abdomen and are hemodynamically unstable.
Case Presentation: A 42-year-old female presented with multiple episodes of syncopal attack associated with vomiting and generalized abdominal pain. Upon arrival, she was hypotensive which required aggressive fluid resuscitation with crystalloids and blood products. Urine pregnancy test was negative. In addition, ultrasound scan showed free fluid in the abdomen mainly at the splenorenal area and organized clots around the uterus. Computed tomography of the Abdomen revealed a moderate amount of hemoperitoneum with hypodense clots at the left para-colic gutter and pelvis. She underwent an exploratory laparotomy and intraoperatively noted bleeding from left uterine artery with 1.2 L of hemoperitoneum with no other abnormalities detected. Intraoperatively, there was an estimated 5 L blood loss which required packed cell and disseminated intravascular coagulation transfusion. Subsequently, the patient was sent to intensive care unit where she recovered well and was discharged home 5 days later.
Conclusion: Spontaneous uterine artery rupture is an extremely rare occurrence with high mortality if there is failure to detect and intervene early.

Keywords

Spontaneous uterine artery rupture
Non-pregnant woman
Gynecological emergency
Subjects
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Journal of Emergency Practice and Trauma
Volume 9, Issue 2
July 2023
Pages 127-129

  • Receive Date 02 September 2022
  • Revise Date 11 August 2022
  • Accept Date 13 December 2022

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