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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 596707, 3 pages
Case Report

Spontaneous Rupture of Uterine Vein in Twin Pregnancy

Department of Obstetrics and Gynecology, Kocaeli University School of Medicine, Kocaeli, Turkey

Received 28 September 2013; Accepted 1 December 2013

Academic Editors: H. Honnma and S. Jivraj

Copyright © 2013 Emek Doger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester. Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear. Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.