Benckiser's hemorrhage: about an uncommon case report.
Benckiser's hemorrhage
Obstetric emergencies
Retroplacental hematoma
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
15
03
2022
revised:
21
04
2022
accepted:
24
04
2022
pubmed:
14
5
2022
medline:
14
5
2022
entrez:
13
5
2022
Statut:
ppublish
Résumé
Benckiser's hemorrhage is a serious obstetric emergency caused by rupture of one or more umbilical vessels of velamentous insertion, putting the fetus in distress and leading to rapid fetal death through exsanguination in utero. It is an uncommon condition associated with a neonatal mortality rate of 75-100%. This hemorrhage of fetal origin happens most often when the membranes rupture, whether spontaneously or artificially. This is why prenatal diagnosis via ultrasound can only be beneficial and make it possible to schedule a prophylactic caesarean section before the onset of fetal death as well as other adverse perinatal outcomes. We hereby present an uncommon case of a 27-year-old female patient, with no antenatal check-ups, who presented to the emergency department for labor-like pain at a gestational age of 32 weeks. On examination, blood pressure was 140/89mmhg. Shortly after her hospitalization, the patient was experiencing steady vaginal bleeding as well as spontaneous rupture of the membranes. Retroplacental hematoma was suspected. It was then quickly decided to do an emergency caesarean section. It was only at the examination of the placenta that the diagnosis was corrected with the visualization of torn velamentous vessels, allowing immediate resuscitation of the newborn and admission in neonatal intensive care unit for blood transfusions. Detailed prenatal ultrasonography screening for vasa previa in high risk pregnancies prevent the onset of complications related to their rupture. An elective caesarean section should be carried out prior to the onset of labor, most often at 35 weeks of amenorrhea, avoiding rupture of membranes and fetal exsanguination, while taking into consideration the impact of iatrogenic prematurity.
Sections du résumé
BACKGROUND
BACKGROUND
Benckiser's hemorrhage is a serious obstetric emergency caused by rupture of one or more umbilical vessels of velamentous insertion, putting the fetus in distress and leading to rapid fetal death through exsanguination in utero. It is an uncommon condition associated with a neonatal mortality rate of 75-100%. This hemorrhage of fetal origin happens most often when the membranes rupture, whether spontaneously or artificially. This is why prenatal diagnosis via ultrasound can only be beneficial and make it possible to schedule a prophylactic caesarean section before the onset of fetal death as well as other adverse perinatal outcomes.
CASE PRESENTATION
METHODS
We hereby present an uncommon case of a 27-year-old female patient, with no antenatal check-ups, who presented to the emergency department for labor-like pain at a gestational age of 32 weeks. On examination, blood pressure was 140/89mmhg. Shortly after her hospitalization, the patient was experiencing steady vaginal bleeding as well as spontaneous rupture of the membranes. Retroplacental hematoma was suspected. It was then quickly decided to do an emergency caesarean section. It was only at the examination of the placenta that the diagnosis was corrected with the visualization of torn velamentous vessels, allowing immediate resuscitation of the newborn and admission in neonatal intensive care unit for blood transfusions.
CONCLUSIONS
CONCLUSIONS
Detailed prenatal ultrasonography screening for vasa previa in high risk pregnancies prevent the onset of complications related to their rupture. An elective caesarean section should be carried out prior to the onset of labor, most often at 35 weeks of amenorrhea, avoiding rupture of membranes and fetal exsanguination, while taking into consideration the impact of iatrogenic prematurity.
Identifiants
pubmed: 35561468
pii: S2210-2612(22)00374-1
doi: 10.1016/j.ijscr.2022.107128
pmc: PMC9108861
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
107128Informations de copyright
Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Références
Fetal Diagn Ther. 2010;28(1):48-50
pubmed: 20516671
Ultrasound Obstet Gynecol. 1998 Dec;12(6):426-9
pubmed: 9918092
J Obstet Gynaecol Can. 2009 Aug;31(8):748-753
pubmed: 19772710
Obstet Gynecol. 1987 Mar;69(3 Pt 2):488-91
pubmed: 3543773
Aust N Z J Obstet Gynaecol. 1972 Aug;12(3):206-9
pubmed: 4511749
J Gynecol Obstet Biol Reprod (Paris). 2013 Oct;42(6):591-5
pubmed: 23287072
BJOG. 2019 Jan;126(1):e49-e61
pubmed: 30260094
Hist Sci Med. 1982;16(3):185-92
pubmed: 11628840
Int J Surg. 2020 Dec;84:226-230
pubmed: 33181358
Obstet Gynecol. 2013 Aug;122(2 Pt 1):352-357
pubmed: 23969805
Obstet Gynecol. 2004 May;103(5 Pt 1):937-42
pubmed: 15121568
Arch Gynecol Obstet. 2016 Feb;293(2):361-7
pubmed: 26193955