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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
LI, Li; PAN, Mian and CHEN, Lichun. Spontaneous hemoperitoneum during pregnancy: three case reports and literature review. Cir. cir. [online]. 2023, vol.91, n.3, pp.422-426. Epub Sep 04, 2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000757.
Objectives:
This case report presented cases with spontaneous hemoperitoneum during pregnancy.
Case report:
Case 1 presented with acute abdominal pain with signs of shock. Cases 2 and 3 both presented with stable vital signs and the sudden decline of fetal heart rate. Cesarean section was performed at 27, 36+4, and 34 gestational weeks, respectively. Bleeding sites were founded on the surface of the uterus or the parametrium. The perinatal outcome was stillbirth, live birth, and neonatal severe asphyxia.
Conclusion:
Careful physical examination, strict monitoring of vital signs, and timely surgical intervention are critical for improving the prognosis.
Keywords : Intra-abdominal hemorrhage; Endometriosis; Uterine surface vascular ruptura.
