• J Gynecol Obst Bio R · Dec 2002

    Case Reports

    [Spontaneous hematoma of the rectus sheath during pregnancy: a case report].

    • G Boog, N Winer, C Le Vaillant, C Dubreil, and A Faysse.
    • Service d'Obstétrique et de Médecine Foetale, Pavillon Mère et Enfant, CHU de Nantes, quai Moncousu, 44093 Nantes Cedex.
    • J Gynecol Obst Bio R. 2002 Dec 1; 31 (8): 783-5.

    AbstractA case of spontaneous rectus sheath hematoma is reported in a 32-year-old multigravida transferred to our antepartum unit for premature labor and persistent cough related to Candida dubliniensis upper airway infection. In pregnant patients presenting sudden-onset severe abdominal pain and parietal tenderness, there are two main differential diagnoses: abruptio placentae and aseptic necrobiosis of a uterine leiomyoma. The correct diagnosis may be obtained by ultrasonography and sometimes by computed tomography. In the present case an emergency cesarean section was performed at 35 weeks gestation after a 40% decrease in maternal hemoglobin and onset of fetal heart rate anomalies.

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