A Rare Cause of Hemoperitoneum in Pregnancy

Authors

  • Ana Edral Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.
  • Carolina da Costa Gomes Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.
  • Rita Martins Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.
  • Ângela Ferreira Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.

DOI:

https://doi.org/10.20344/amp.12835

Keywords:

Hemoperitoneum, pregnancy, varicose veins

Abstract

Spontaneous hemoperitoneum in pregnancy is a rare complication resulting in high maternal and fetal morbidity and mortality. The authors describe the case of a pregnant woman presenting at 32 weeks of gestation with abdominal pain and free abdominal fluid on ultrasound. Laparotomy revealed a hemoperitoneum resulting from a suspected ruptured varices on the uterine posterior surface. A live newborn was delivered by cesarean-section, and hemorrhage was controlled with sutures and compression. Clinicians should be aware of this diagnosis when a pregnant woman presents with abdominal pain, anemia or hypovolemic shock. Early intervention will avoid poor outcomes for both the mother and the fetus.

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Author Biographies

Ana Edral, Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.

Assistente Hospitalar, Ginecologia e Obstetrícia

Carolina da Costa Gomes, Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.

Interno de Formação Específica, Ginecologia e Obstetrícia

Rita Martins, Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.

Assistente Hospitalar, Ginecologia e Obstetrícia

Ângela Ferreira, Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Universitário do Algarve. Faro.

Assistente Hospitalar, Ginecologia e Obstetrícia

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Published

2022-01-03

How to Cite

1.
Edral A, da Costa Gomes C, Martins R, Ferreira Ângela. A Rare Cause of Hemoperitoneum in Pregnancy. Acta Med Port [Internet]. 2022 Jan. 3 [cited 2024 Dec. 26];35(1):59-62. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12835

Issue

Section

Case Report