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Spontaneous intraperitoneal haemorrhage during pregnancy
1Department of Obstetrics and Gynecology, University of Dammam, Dammam, Eastren, Saudi Arabia. dr.nourah@gmail.com
BMJ Case Reports
|September 13, 2012
Summary
Spontaneous hemoperitoneum due to ruptured utero-ovarian vessels in late pregnancy is rare. Prompt diagnosis and surgical intervention led to good maternal and infant outcomes despite initial challenges.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Case Reports
Background:
- Spontaneous hemoperitoneum during pregnancy is a rare but potentially life-threatening condition.
- Rupture of utero-ovarian vessels is an uncommon cause of intra-abdominal bleeding in the third trimester.
- Timely diagnosis and management are crucial for favorable maternal and fetal outcomes.
Observation:
- A pregnant patient in her third trimester presented with recurrent acute abdominal pain and hypotension.
- Initial diagnosis considered placental abruption, leading to an emergency cesarean section.
- Intraoperative findings revealed laceration of the utero-ovarian plexus, requiring suture-ligation.
Findings:
- Successful surgical management of ruptured utero-ovarian vessels was achieved through suture-ligation.
- The mother experienced a good recovery and was discharged in stable condition.
- The infant suffered birth asphyxia but improved, being extubated on day three and discharged well.
Implications:
- This case highlights the importance of considering rare vascular emergencies in pregnant patients with acute abdomen.
- Prompt surgical intervention for ruptured utero-ovarian vessels can lead to successful outcomes.
- Management strategies for both mother and neonate require careful consideration in such critical obstetric events.
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