Successful laparoscopic management of spontaneous hemoperitoneum at 15 weeks of pregnancy: case report and review of literature

Antonio Pezzuto, Paola Pomini, Martin Steinkasserer, Giovanni Battista Nardelli, Luca Minelli
Journal of Minimally Invasive Gynecology · 2009 · vol. 16(6) , pp. 792–794 · doi:10.1016/j.jmig.2009.08.007 · PMID:19896614 · W2150124481
Review OA: closed CC0 ⤵ 10 in-corpus citations
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This case report details a successful laparoscopic approach to managing spontaneous hemoperitoneum in a 15-week pregnant patient, alongside a literature review on similar cases.

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Abstract

We present a case report of laparoscopic management of a spontaneous hemoperitoneum in the second trimester of pregnancy. The patient was a 40-year-old woman at 15 weeks of gestation. At laparoscopic surgery, the hemoperitoneum was evacuated, and the right-sided uterine vessels were closed with diathermocoagulation. Every pregnant woman with severe abdominal pain, vomiting, and imminent hypovolemic shock should be carefully evaluated. After ruling out the most prevalent causes of hemoperitoneum, idiopathic spontaneous hemoperitoneum should be considered. Rapid diagnosis and aggressive fluid replacement together with prompt surgical intervention may be the only chance for a favorable outcome for both mother and child in the presence of such a rare complication. Moreover, in early stages of pregnancy, the laparoscopic approach should be considered but only in the hands of experienced laparoscopic surgeons.

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MeSH descriptors

Hemoperitoneum Laparoscopy Pregnancy Complications, Cardiovascular Pregnancy Trimester, Second Adult Electrocoagulation Female Hemoperitoneum Hemoperitoneum Humans Laparoscopy Pregnancy Pregnancy Complications, Cardiovascular

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