Spontaneous Hemoperitoneum in Third Trimester of Pregnancy—an Enigma
This case report details a 33-week pregnant woman who presented with acute abdomen and shock, diagnosed with spontaneous hemoperitoneum requiring emergency laparotomy and cesarean section.
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This case report describes a primigravida at 33 weeks with acute abdomen, hypovolemic shock, and an abnormal cardiotocogram, ultimately undergoing laparotomy and cesarean section under suspicion of placental abruption. Intraoperatively, the authors found 600 mL hemoperitoneum with large clots (750 g) and a small venous bleed on the posterior uterine surface that was secured with hemostatic sutures. The patient was discharged with the baby on postoperative day 7, and the report emphasizes that timely intervention is important, while it is limited by the inherent constraints of a single-case design and lack of broader diagnostic comparison. Relevance to endometriosis: the report itself is a third-trimester pregnancy case, but the paper’s references include studies and systematic reviews linking spontaneous hemoperitoneum in pregnancy to endometriosis, and those citations provide the specific context for its inclusion in endometriosis-focused literature.
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Cites (4)
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis — A systematic review of the recent literature 2017
- Spontaneous Rupture of the Uterine Vessels in Pregnancy 2004
- Spontaneous haemoperitoneum in pregnancy and endometriosis: a case series 2016
- Decidual Bleeding as a Cause of Spontaneous Hemoperitoneum in Pregnancy and Risk of Preterm Birth 2017
Cited by (2)
References (5)
- Decidual Bleeding as a Cause of Spontaneous Hemoperitoneum in Pregnancy and Risk of Preterm Birth via openalex
- Spontaneous haemoperitoneum in pregnancy and endometriosis: a case series via openalex
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis — A systematic review of the recent literature via openalex
- Spontaneous Rupture of the Uterine Vessels in Pregnancy via openalex
- W2465610294 via openalex
Cited by (2)
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