Work

Spontaneous hemoperitoneum in the second trimester of pregnancy with a favorable outcome: a case report

Year: 2025

Type: article

Abstract: Spontaneous hemoperitoneum in pregnancy is extremely rare but may cause severe hemorrhage, resulting in a high rate of mortality. We report a case of a primigravid woman who complained of middle-upper abdominal pain. She was admitted to our department at 24 + 6 weeks of in vitro fertilization gestation with a surgical history of endometriosis. The patient’s non-specific presentation posed diagnostic difficulties and intestinal obstruction was initially suspected. Emergent computed tomographic findings showed massive free abdominal fluid, which was suspected to have arisen from the left ovary or uterus. During an emergency exploratory laparotomy, she had interrupted suturing of a ruptured left uterine subserosal vein performed. Computed tomographic imaging is more helpful for isolating the source of bleeding than ultrasound. Prompt action of an exploratory laparotomy can result in favorable outcomes for the mother and newborn in spontaneous hemoperitoneum in pregnancy.

Source: Journal of International Medical Research

DOI: 10.1177/03000605251317995

Authors: Lirong Fu, Li Zhang, Lijuan Xu, Peirong Xu, Kai Liu, Zhuyun Ding

Institutions: Songjiang District Central Hospital, Ningbo University

Language: English

Topic: Maternal and fetal healthcare

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $4,155