Idiopathic spontaneous haemoperitoneum in pregnancy

Authors

  • Mazrin Nur M. A. Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Rohana I. Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Hamidah H. Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Syauki H. Department of Surgery, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
  • Roziana R. Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174073

Keywords:

Haemoperitoneum, Idiopathic, Pregnancy, Spontaneous

Abstract

We report a case of a 43-year-old grandmultipara at 26 weeks pregnancy with acute abdomen and in hypovolaemic shock. Urgent exploratory laparotomy revealed massive haemoperitoneum of 9 litres but the exact source of bleeding is obscured despite careful examination of the abdominal organs and vasculature. The patient recovered well post operation but the baby died in-utero.

 

References

Smith A, Le D, Guileyardo J, Casanova M. Abdominal apoplexy resulting in small bowel obstruction. Proc (Bayl Univ Med Cent). 2016;29(4):404-6.

Barber MC. Intra-abdominal haemorrhage associated with labour. BMJ. 1909;2:203-4.

Green WT, Powers JH. Intra-abdominal apoplexy. Ann Surg. 1931;93(5):1070-4.

Carr SR, Dinsmore RC, Wilkinson NW. Idiopathic spontaneous intraperitoneal hemorrhage: a clinical update on abdominal apoplexy in the year 2001. Am Surg. 2001;67(4):374-6.

Katorza E, Soriano D, Stockheim D, et al. Severe intraabdominal bleeding caused by endometriotic lesions during the third trimester of pregnancy. Am J Obstet Gynecol. 2007;197(5):501.e1-e4.

Hassani KI, Bounekar A, Gruss JM. Spontaneous rupture of the right gastroepiploic artery: unusual cause of acute abdomen and shock. World J Emerg Surg. 2009;4:24.

Passos F, Calhaz-Jorge C, Gra¸ ca LM. Endometriosis is a possible risk factor for spontaneous hemoperitoneum in the third trimester of pregnancy. Fertil Steril. 2008;89(1):251-2.

Brosens IA, Fusi L, Brosens JJ. Endometriosis is a risk factor for spontaneous hemoperitoneum during pregnancy. Fertil Steril. 2009;92(4):1243-5.

Brosens IA, Lier MC, Mijatovic V, Habiba M, Benagiano G. Severe spontaneous hemoperitoneum in pregnancy may be linked to in vitro fertilization in patients with endometriosis: a systematic review. Fertil Steril. 2016;106(3):692-703.

Berk JE, Rothschild NS, Doane JC. Intraabdominal Apoplexy. Ann Surg. 1941;13(4):513-20.

Harbour LN, Koch MS, Louis TH, Fulmer JM, Guileyardo JM. Abdominal apoplexy: two unusual cases of hemoperitoneum. Proc (Bayl Univ Med Cent). 2012;25(1):16-9.

Cawyer JC, Stone CK. Abdominal apoplexy: a case report and review. J Emerg Med. 2011;40(3):e49-e52.

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Published

2017-08-28

Issue

Section

Case Reports