Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report
Spontaneous haemoperitoneum during pregnancy is a rare but potentially catastrophic cause of acute abdominal pain. A healthy 37-year-old primigravida presented with acute abdominal pain and hypovolaemic shock at 37-weeks gestation. An emergency caesarean section was indicated on the clinical suspici...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2011-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2011/173097 |
| _version_ | 1827081670324387840 |
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| author | Harriet Williamson Radha Indusekhar Alexander Clark Ismail M. Hassan |
| author_facet | Harriet Williamson Radha Indusekhar Alexander Clark Ismail M. Hassan |
| author_sort | Harriet Williamson |
| collection | DOAJ |
| description | Spontaneous haemoperitoneum during pregnancy is a rare but potentially catastrophic cause of acute abdominal pain. A healthy 37-year-old primigravida presented with acute abdominal pain and hypovolaemic shock at 37-weeks gestation. An emergency caesarean section was indicated on the clinical suspicion of placental abruption. However, an ultrasound scan confirmed the absence of a fetal heartbeat, and, in light of the mother’s haemodynamic stability, a vaginal delivery was deemed most appropriate. Subsequent imaging, due to deterioration over the following 24-hours, revealed a large heterogenous haematoma within the pelvic cavity, which was later found to be caused by severe pelvic endometriosis. Despite fertility problems associated with severe endometriosis, advanced assisted reproductive technology enables more of these patients to become pregnant, highlighting the need to be aware of this rare complication in pregnancy. |
| first_indexed | 2025-03-20T03:21:02Z |
| format | Article |
| id | doaj.art-15e24e4f708b4286a54b8c0c20d3fe1b |
| institution | Directory Open Access Journal |
| issn | 2090-6684 2090-6692 |
| language | English |
| last_indexed | 2025-03-20T03:21:02Z |
| publishDate | 2011-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj.art-15e24e4f708b4286a54b8c0c20d3fe1b2024-10-03T07:09:46ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/173097173097Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case ReportHarriet Williamson0Radha Indusekhar1Alexander Clark2Ismail M. Hassan3Keele University Medical School, Keele ST5 5 BG, UKUniversity Hospital of North Staffordshire NHS Trust, Stoke on Trent ST4 6QG, UKUniversity Hospital of North Staffordshire NHS Trust, Stoke on Trent ST4 6QG, UKUniversity Hospital of North Staffordshire NHS Trust, Stoke on Trent ST4 6QG, UKSpontaneous haemoperitoneum during pregnancy is a rare but potentially catastrophic cause of acute abdominal pain. A healthy 37-year-old primigravida presented with acute abdominal pain and hypovolaemic shock at 37-weeks gestation. An emergency caesarean section was indicated on the clinical suspicion of placental abruption. However, an ultrasound scan confirmed the absence of a fetal heartbeat, and, in light of the mother’s haemodynamic stability, a vaginal delivery was deemed most appropriate. Subsequent imaging, due to deterioration over the following 24-hours, revealed a large heterogenous haematoma within the pelvic cavity, which was later found to be caused by severe pelvic endometriosis. Despite fertility problems associated with severe endometriosis, advanced assisted reproductive technology enables more of these patients to become pregnant, highlighting the need to be aware of this rare complication in pregnancy.http://dx.doi.org/10.1155/2011/173097 |
| spellingShingle | Harriet Williamson Radha Indusekhar Alexander Clark Ismail M. Hassan Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report |
| title_full | Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report |
| title_fullStr | Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report |
| title_full_unstemmed | Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report |
| title_short | Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report |
| title_sort | spontaneous severe haemoperitoneum in the third trimester leading to intrauterine death case report |
| url | http://dx.doi.org/10.1155/2011/173097 |
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