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Spontaneous hemoperitoneum during pregnancy: three case reports and literature review
Li Li1, Mian Pan1, Lichun Chen1
1Department of Obstetrics, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, China.
Objectives:
This case report presented cases with spontaneous hemoperitoneum during pregnancy.
Case Report:
Case 1 presented with acute abdominal pain with signs of shock. Cases 2 and 3 both presented with stable vital signs and the sudden decline of fetal heart rate. Cesarean section was performed at 27, 36+4, and 34 gestational weeks, respectively. Bleeding sites were founded on the surface of the uterus or the parametrium. The perinatal outcome was stillbirth, live birth, and neonatal severe asphyxia.
Conclusion:
Careful physical examination, strict monitoring of vital signs, and timely surgical intervention are critical for improving the prognosis.
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