Spontaneous Uterine Artery Rupture in a Nongravid Patient

A 35-year-old patient presented with sudden onset, severe, lower abdominal pain, hemodynamic instability, a greater than forty-point decrease in hemoglobin, negative pregnancy test, and a CT scan indicating possible ruptured hemorrhagic cyst. A diagnostic laparoscopy was performed revealing significant hemoperitoneum approximating two litres and a ruptured left uterine artery (image 1). The left broad ligament was dissected and bipolar energy was used to ligate and secure the left uterine artery both distally and proximally (image 2).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research