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Gastric Rupture Associated With Pregnancy

Cha, Ae Seon MD; Krew, Michael A. MD; Tamlyn, Todd MD; Gill, Prabhcharan MD

Case Reports

BACKGROUND: Spontaneous gastric rupture during pregnancy is rare.

CASE: A young primigravida delivered a 34-week stillborn infant. Shortly after delivery, she developed signs of hypovolemic shock. Ultrasound examination showed a large amount of free intra-abdominal fluid. At laparotomy, gastric rupture was encountered and repaired. Congenital eventration of the left hemidiaphragm was also noted. After a complicated postoperative course, the patient recovered and has done well.

CONCLUSION: Rapid surgical intervention for gastric rupture associated with pregnancy is necessary for maternal survival.

A woman presents with gastric rupture shortly after vaginal delivery.

Department of Obstetrics & Gynecology and Surgery, Aultman Health Foundation, Canton, Ohio

Address reprint requests to: Michael A. Krew, MD, Aultman Health Foundation, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, 2600 Sixth Street, SW, Canton, OH 44710; E-mail: mkrew@aultman.com.

Received September 18, 2001. Received in revised form February 19, 2002. Accepted March 14, 2002.

© 2002 The American College of Obstetricians and Gynecologists