Spontaneous Hemoperitoneum in Third Trimester of Pregnancy-an Enigma

Spontaneous hemoperitoneum in pregnancy is a rare and challenging obstetric emergency. It can present as acute abdomen with features of hypovolemic shock and requires high index of suspicion for diagnosis as various obstetric and non-obstetric causes have similar presenting features. Here we present a case of primigravida at 33 weeks of gestation who presented with acute abdomen, signs of shock and a pathological trace on cardiotocogram. She underwent laparotomy and cesarean section in view of suspicion of abruption placentae. Intraoperatively there was hemoperitoneum of 600 ml with 750 g clots and a small venous bleeder on the posterior surface of the uterus which was secured with hemostatic sutures. Patient got discharged along with the baby on seventh postoperative day. Timely intervention is paramount in reducing maternal morbidity and mortality. Similar content being viewed by others

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None Funding None. Author information Authors and Affiliations Contributions DN, AT and HS were involved in the management of the case; DN wrote the first manuscript. AT and HS revised the manuscript. DN, AT and HS approved the final version. Corresponding author Ethics declarations Conflict of interest The author declares no conflict of interest. Ethical Approval Ethical approval is not required for case reports as per the Institutional Ethics Committee guidelines. Informed Consent Informed consent obtained from the patients and their identity was not disclosed. Consent for Publication We hereby transfer, assign, or otherwise convey all copyright ownership, including any and all rights incidental thereto, exclusively to the journal, in the event that such work is published by the journal. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Dr. Deepthi Nayak is currently working as Senior Resident in Department of Obstetrics and Gynecology, JIPMER, Puducherry. She did her MBBS from Kasturba medical college, Manipal, Karnataka and MS Obstetrics and Gynecology from Jawaharlal Institute of postgraduate medical education and research, Puducherry. Rights and permissions About this article Cite this article Nayak, D., Thangavel, A. & Sagili, H. Spontaneous Hemoperitoneum in Third Trimester of Pregnancy—an Enigma. J Obstet Gynecol India 72, 449–453 (2022). https://doi.org/10.1007/s13224-021-01522-w Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s13224-021-01522-w