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J Obstet Gynaecol Can ; 28(8): 720-723, 2006 Aug.
Article in English | MEDLINE | ID: mdl-17022913

ABSTRACT

BACKGROUND: Hereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominant condition. It is rarely seen in pregnancy and even more rarely has uterine manifestations. CASE: A 29-year-old primigravid woman with HHT was noted to have vascular manifestations of her disease in the lower uterus, distal rectum, pelvis, and bladder before pregnancy. Prior to delivery, a case conference was held, involving representatives of the departments of vascular surgery, hematology, radiology, anaesthesiology, maternal-fetal medicine, neonatology, and laboratory medicine, and other appropriate health professionals. A successful elective Caesarean section was performed at term, with a good outcome for both mother and child. CONCLUSION: regnancies in women with HHT and associated uterine vascular manifestations have been rarely reported, and published information is minimal. We present a case of a successful operative delivery following careful multidisciplinary antepartum care.


Subject(s)
Pregnancy Complications, Cardiovascular/genetics , Telangiectasia, Hereditary Hemorrhagic/complications , Uterus/blood supply , Adult , Cesarean Section , Female , Humans , Pregnancy , Pregnancy Outcome
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