oa Central African Journal of Medicine - Recurrent rupture of varicose veins of uterus in two successive pregnancies

Volume 13, Issue 10
  • ISSN : 0008-9176



1. Spontaneous intraperitoneal bleeding from ruptured surface uterine veins complicated two successive pregnancies in a Cantonese patient. 2. Management in the first pregnancy was by caesarean section and vein ligation and in the second by caesarean-hysterectomy for the added complications of partial placenta accreta and weakening of the fundus by an excessively thin walled sacculation. 3. The role of the ectopic decidual reaction in the causation of intraperitoneal bleeding in pregnancy is stressed. 4. A possible pathological course of events is descriptionbed for rupture of uterine surface varicosities to explain initial minor abdominal pain and final generalised pain and collapse.

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