Spontaneous Hemoperitoneum in Pregnancy

Authors

  • Daniela Gonçalves Serviço de Obstetrícia e Ginecologia. Centro Materno-Infantil do Norte. Centro Hospitalar do Porto. Porto. https://orcid.org/0000-0002-9925-4670
  • Marcília Teixeira Serviço de Ginecologia. Centro Materno-Infantil do Norte. Centro Hospitalar do Porto. Porto.
  • Rosa Rodrigues Serviço de Obstetrícia. Centro Materno-Infantil do Norte. Centro Hospitalar do Porto. Porto.
  • Jorge Braga Serviço de Obstetrícia. Centro Materno-Infantil do Norte. Centro Hospitalar do Porto. Porto.

DOI:

https://doi.org/10.20344/amp.11169

Keywords:

Endometriosis, Hemoperitoneum, Pregnancy, Pregnancy Complications

Abstract

Endometriosis is a benign, estrogen-dependent chronic disorder. Pregnancy is considered to have a positive effect on endometriosis due to blockage of ovulation; however, evidence is emerging on the role of endometriosis not only in infertility but also in poor pregnancy outcomes. We present the case of a pregnant woman admitted for sudden and severe abdominal pain at 34 weeks gestation. Her previous medical history included endometriosis suspected by clinical symptoms and ultrasound. During cesarean section, performed by sustained fetal bradycardia, a large volume hemoperitoneum and multiple hemorrhagic foci in the posterior uterine wall were detected. Although rare, spontaneous hemoperitoneum may occur in pregnancy, especially in women with endometriosis. Thus, a prompt suspicion and expedite intervention are needed to improve maternal and fetal outcomes.

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Published

2019-11-04

How to Cite

1.
Gonçalves D, Teixeira M, Rodrigues R, Braga J. Spontaneous Hemoperitoneum in Pregnancy. Acta Med Port [Internet]. 2019 Nov. 4 [cited 2023 Feb. 7];32(11):730-2. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11169

Issue

Section

Case Report