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Postcoital hemoperitoneum without identifiable bleeding source: a case report

M T Yian1, H J Chen, T Y Chu

  • 1Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|October 1, 1996
PubMed
Summary
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Spontaneous intra-abdominal bleeding, or abdominal apoplexy, can occur after intercourse. This rare condition, hemoperitoneum, may happen without obvious injury, presenting a diagnostic challenge.

Area of Science:

  • Medicine
  • Surgery
  • Gastroenterology

Background:

  • Spontaneous intra-abdominal bleeding, termed abdominal apoplexy, shares characteristics with cerebral apoplexy.
  • Common sources include ruptured celiac axis or superior mesenteric artery branches.

Observation:

  • Rarely, hemoperitoneum (blood in the abdomen) occurs spontaneously post-coitus without evident vaginal injury.
  • Only twelve such cases have been documented in medical literature.
  • Most reported cases involve injury to pelvic organs like ligaments or ovarian cysts.

Findings:

  • This report details a case of massive hemoperitoneum following coitus.
  • No definitive bleeding source was identified in this particular case.
  • The spontaneous nature and lack of clear injury highlight the condition's enigmatic presentation.

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Implications:

  • This case underscores the importance of considering rare causes of abdominal bleeding.
  • Further investigation is needed to understand the mechanisms behind post-coital hemoperitoneum.
  • Highlights the need for vigilance in diagnosing abdominal apoplexy, especially in the absence of trauma.