• Lingyun Hu, Jing Ning, Li'an Li, Yanping Lu, and Yanqin You.
• Department of Obstetrics & Gynecology, The First Medical Center of the PLA General Hospital, Beijing, China.
• Medicine (Baltimore). 2023 May 19; 102 (20): e33692e33692.

RationaleUterine artery spontaneous rupture is a rare but potentially life-threatening complication during pregnancy and puerperium. The lack of typical symptoms makes it difficult to diagnose, which can result in serious consequences for both the mother and fetus.Patient ConcernsCase 1 presented with fainting and lower abdominal discomfort, while Case 2 developed hypotension after delivery and remained in poor condition even after rehydration.DiagnosesBoth cases were diagnosed with uterine artery spontaneous rupture, with intraoperative findings revealing ruptures in different branches of the uterine artery.InterventionsBoth cases underwent surgical interventions, with laparoscopic surgery performed in Case 1 and repair of the ruptured artery in Case 2.OutcomesBoth cases had successful outcomes, with the ruptured arteries repaired and the patients discharged from the hospital within a week after surgery.LessonsUterine artery spontaneous rupture is a rare but potentially life-threatening complication that may present with atypical symptoms. Early diagnosis and prompt surgical intervention are crucial in preventing serious complications for both the mother and fetus. Clinicians should maintain a high level of suspicion for this condition when evaluating patients presenting with unexplained symptoms or signs of peritoneal irritation during pregnancy and puerperium.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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