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Related Experiment Videos

Postcoital haemoperitoneum: a cause for shock.

Anu Goswami1, Subrahmanian S Raghavan, Lekharaj H Ghotekar

  • 1BP Koirala Institute of health Sciences, Nepal, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. anugo111@rediffmail.com

Emergency Medicine Australasia : EMA
|July 9, 2004
PubMed
Summary

Postcoital haemoperitoneum, a rare condition, can occur without vaginal injury. This case highlights a pregnant woman presenting with shock due to bleeding into the abdominal cavity after intercourse.

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Area of Science:

  • Reproductive Medicine
  • Emergency Medicine
  • Surgical Case Reports

Background:

  • Postcoital haemoperitoneum is a rare clinical presentation, typically associated with trauma or evident vaginal injury.
  • Intrauterine pregnancy can predispose individuals to gynecological emergencies.

Observation:

  • A 21-year-old pregnant woman (8 weeks amenorrhea) presented to the Emergency Department (ED) in shock.
  • Symptoms included acute abdominal pain following recent coitus.
  • Ultrasound confirmed a live intrauterine pregnancy and significant hemoperitoneum.

Findings:

  • Laparotomy revealed over 2 liters of free blood in the peritoneal cavity.
  • A bleeding vessel in the pouch of Douglas was identified as the source.
  • The vessel was successfully ligated, resolving the hemorrhage.

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Implications:

  • This case underscores that postcoital haemoperitoneum can occur in early pregnancy without obvious external trauma.
  • It emphasizes the importance of considering gynecological emergencies in women presenting with shock and abdominal pain.
  • Prompt diagnosis and surgical intervention are crucial for managing life-threatening hemoperitoneum.