Spontaneous Haemoperitoneum in Pregnancy: A Case Report  

作　　者：Zubaida Aliyu Ugochukwu Ekwunife Olatunbosun Oke Simon Oladele Isawunmi Kayode Adetifa Fatai Kunle Ajayi Olusegun Akinniranye Joseph Alozie Zubaida Aliyu;Ugochukwu Ekwunife;Olatunbosun Oke;Simon Oladele Isawunmi;Kayode Adetifa;Fatai Kunle Ajayi;Olusegun Akinniranye;Joseph Alozie(Department of Obstetrics and Gynaecology, Lagos, Nigeria;Department of Surgery, Lagos, Nigeria;Department of Anaesthesia and Critical Care, Lagos, Nigeria;Emergency Medicine, Lagoon Hospitals, Lagos, Nigeria)

机构地区：[1]Department of Obstetrics and Gynaecology, Lagos, Nigeria [2]Department of Surgery, Lagos, Nigeria [3]Department of Anaesthesia and Critical Care, Lagos, Nigeria [4]Emergency Medicine, Lagoon Hospitals, Lagos, Nigeria

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第2期125-130,共6页妇产科期刊（英文）

摘　　要：Introduction: A rare but severe complication of endometriosis during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP) with life threatening intraabdominal bleeding. We report the case of SHiP in an IVF twin </span><span style="font-family:Verdana;">conception with background endometriosis. Case Report: A 31-year-old</span><span style="font-family:Verdana;"> G1P0, admitted to Lagoon hospitals Ikoyi on 15</span>^{<span style="font-family:Verdana;">th</span>}<span style="font-family:Verdana;"> May 2019 for severe abdominal pain, dizziness and restlessness at 24 weeks. Examination revealed grossly distended abdomen, with diffuse tenderness and guarding. She was lethargic and pale. A significant drop in hemoglobin to 3.6 g/dL. A diagnosis of acute abdomen probably SHiP was made. She was moved to the theatre for emergency surgical resuscitation, jointly with a general surgeon. She underwent a midline laparotomy under general anesthesia. She was monitored in the intensive care unit postoperatively. She made remarkable clinical recovery and was discharged home after Fourteen days of inpatient admission. Conclusion: A greater awareness of SHiP and its associated risk factors, such as pelvic endometriosis, may facilitate the diagnosis of this condition and expedite the intervention to improve maternal and fetal outcomes.Introduction: A rare but severe complication of endometriosis during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP) with life threatening intraabdominal bleeding. We report the case of SHiP in an IVF twin </span><span style="font-family:Verdana;">conception with background endometriosis. Case Report: A 31-year-old</span><span style="font-family:Verdana;"> G1P0, admitted to Lagoon hospitals Ikoyi on 15</span>^{<span style="font-family:Verdana;">th</span>}<span style="font-family:Verdana;"> May 2019 for severe abdominal pain, dizziness and restlessness at 24 weeks. Examination revealed grossly distended abdomen, with diffuse tenderness and guarding. She was lethargic and pale. A significant drop in hemoglobin to 3.6 g/dL. A diagnosis of acute abdomen probably SHiP was made. She was moved to the theatre for emergency surgical resuscitation, jointly with a general surgeon. She underwent a midline laparotomy under general anesthesia. She was monitored in the intensive care unit postoperatively. She made remarkable clinical recovery and was discharged home after Fourteen days of inpatient admission. Conclusion: A greater awareness of SHiP and its associated risk factors, such as pelvic endometriosis, may facilitate the diagnosis of this condition and expedite the intervention to improve maternal and fetal outcomes.

关 键 词：HEMOPERITONEUM PREGNANCY ENDOMETRIOSIS 

分 类 号：R71[医药卫生—妇产科学]