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[Exceptional hemoperitoneal third trimester of pregnancy]
G Aissi1, A Gaudineau2, N-T Trieu1
1HUS-CMCO (centre médico-chirurgical et obstétrical), 19, rue Louis-Pasteur, BP 120, 67303 Schiltigheim cedex, Strasbourg, France.
Gynecologie, Obstetrique & Fertilite
|January 14, 2014
Summary
A rare case of spontaneous broad ligament rupture in late pregnancy caused severe maternal and fetal distress. Emergency surgery was required to save both lives.
Area of Science:
- Obstetrics and Gynecology
- Surgical Case Reports
Background:
- Spontaneous broad ligament rupture is an uncommon obstetric emergency.
- It can present with severe abdominal pain and hemodynamic instability.
Observation:
- A 32-year-old primigravida at 36 weeks+2 days gestation presented with acute abdominal pain.
- Examination revealed signs of acute fetal distress and significant hemoperitoneum.
Findings:
- Exploratory laparotomy confirmed a spontaneous broad ligament rupture.
- The fetal prognosis was poor, necessitating urgent delivery and simultaneous vascular hemostasis.
Implications:
- This case highlights the critical need for prompt diagnosis and surgical intervention in suspected cases.
- Timely management is crucial for improving maternal and fetal outcomes in this rare obstetric complication.
