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Gynécologie Obstétrique & Fertilité
Volume 34, n° 9
pages 711-715 (septembre 2006)
Doi : 10.1016/j.gyobfe.2006.07.001
Received : 27 Mars 2006 ;  accepted : 4 July 2006
Rupture spontanée du pédicule utérin en cours de grossesse : à propos de trois cas
Spontaneous rupture of the uterine pedicle during pregnancy: three case reports
 

J. Dubuisson a, , G. Pennehouat b, R.-C. Rudigoz a
a Service de gynécologie-obstétrique, hôpital de la Croix-Rousse, 103, Grande-Rue de la Croix-Rousse, 69004 Lyon, France 
b Service de gynécologie-obstétrique, centre hospitalier de Chambéry, BP 1125-73011 Chambéry cedex, France 

Auteur correspondant.
Résumé

Nous rapportons les observations cliniques de trois patientes ayant présenté une rupture spontanée du pédicule utérin en cours de grossesse. La rupture s'est révélée par un tableau d'hémorragie intrapéritonéale dans les deux premiers cas et par une mort foetale in utero dans le dernier cas. Le pronostic foetal a été dramatique dans les trois cas. La survenue d'une rupture spontanée du pédicule utérin est un événement exceptionnel au cours de la grossesse. Sur la base de nos observations et des différents articles publiés, nous proposons une conduite à tenir devant un syndrome de rupture vasculaire au cours de la grossesse.

The full text of this article is available in PDF format.
Abstract

We report a retrospective review of three cases presenting with spontaneous uterine artery rupture during pregnancy. Clinical presentations were intra-peritoneal haemorrhage for two of them and in utero fetal death for the last one. Fetal outcome was poor in all three cases. Uterine vessels spontaneous rupture during pregnancy is an exceptional event. Considering our experience and the literature review, we propose a guideline for vascular rupture during pregnancy.

The full text of this article is available in PDF format.

Mots clés : Grossesse, Pédicule utérin, Rupture spontanée

Keywords : Pregnancy, Uterine pedicle, Spontaneous rupture




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