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Spontaneous intraperitoneal hemorrhage in the third trimester of pregnancy: Clinical suspicion made the difference

Sameer Hamadeh1, Bishr Addas1, Nasreen Hamadeh1

  • 1Department of Obstetrics and Gynaecology, King Fahd Hospital of the University, Alkhoba, Saudi Arabia.

The Journal of Obstetrics and Gynaecology Research
|October 5, 2017
PubMed

A case of spontaneous hemoperitoneum resulting from ruptured vessels in the uterine-ovarian plexus, in the third trimester of pregnancy is described. This is a rare and challenging obstetric emergency. Acute abdominal pain is the main presenting symptom. Clinical suspicion and rapid intervention consisting of emergency cesarean section with ligation of bleeding vessels resulted in favorable outcomes for both mother and baby. The importance of prompt action in the case of deteriorating vital signs is emphasized to achieve success in their management.

Keywords:
hemoperitoneumplacental abruptionruptured uterine scarutero-ovarian vessel rupture

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