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Obstetrics & Gynecology:
Case Reports

Gastric Rupture Associated With Pregnancy

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

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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.

© 2002 The American College of Obstetricians and Gynecologists


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