A Rare Cause of Hemoperitoneum in Pregnancy

• Autor(a) principal: Edral, Ana
• Data de Publicação: 2022
• Outros Autores: da Costa Gomes, Carolina, Martins, Rita, Ferreira, Ângela
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12835
• topic: Hemoperitoneum; pregnancy; varicose veins; Complicações na Gravidez/diagnóstico; Gravidez; Hemoperitoneu/cirurgia; Hemoperitoneu/diagnóstico; Hemoperitoneu/etiologia; Varizes/complicações

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.