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Spontaneous intra-abdominal bleeding during pregnancy
Thanapan Choobun1, Sutham Pinjaroen, Chatpavit Getpook
1Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand. cthanapa@yahoo.com
Summary
Spontaneous hemoperitoneum in pregnancy, caused by ruptured uterine vessels, can cause acute abdominal pain. Prompt surgical intervention leads to good outcomes for both mother and infant.
Area of Science:
- Obstetrics and Gynecology
- Surgical Case Reports
Background:
- Spontaneous hemoperitoneum during pregnancy is a rare but potentially life-threatening condition.
- Rupture of the uterine vessels plexus can lead to significant intra-abdominal bleeding.
Observation:
- Two cases are presented involving pregnant individuals in the second and third trimesters.
- Both patients experienced acute abdominal pain, indicative of intra-abdominal bleeding.
Findings:
- Emergency exploratory laparotomy with suture-ligation was successfully performed in both cases.
- One patient experienced recurrent intra-abdominal bleeding, managed successfully with surgical intervention.
Implications:
- This condition necessitates prompt diagnosis and surgical management.
- Early intervention can lead to favorable maternal and neonatal outcomes, despite potential complications like prematurity.
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