Abstract
Spontaneous rupture of uterine vessels during pregnancy is a life-threatening condition though, it has a rare occurrence. This case report discusses about a 32-year-old lady at 16 weeks of gestation presented with spontaneous rupture of uterine artery and she was managed with emergency laparotomy with suturing of ruptured artery. She had delivered a healthy baby after 37 weeks of gestation by a caesarean section due to pregnancy induced hypertension at 36 weeks of gestation.
Highlights
Spontaneous hemoperitoneum in the second trimester of pregnancy is a rare complication that gives potentially high mortality for both the mother and foetus.[1]
Prompt clinical suspicion and diagnosis, timely intervention with volume replacement and emergency surgical approach will provide the best outcome. We report this case of spontaneous hemoperitoneum in the second trimester due to rupture of uterine vessels, that had a good maternal and foetal outcome, with the objective of sharing our experience of diagnosis and management of rare obstetric complication
Case report A 32-year-old Sri Lankan woman in her third pregnancy at 16 weeks of gestation was admitted to the ward at midnight with a history of acute abdominal pain lasting for six hours
Summary
Spontaneous hemoperitoneum in the second trimester of pregnancy is a rare complication that gives potentially high mortality for both the mother and foetus.[1]. Prompt clinical suspicion and diagnosis, timely intervention with volume replacement and emergency surgical approach will provide the best outcome We report this case of spontaneous hemoperitoneum in the second trimester due to rupture of uterine vessels, that had a good maternal and foetal outcome, with the objective of sharing our experience of diagnosis and management of rare obstetric complication. Case report A 32-year-old Sri Lankan woman in her third pregnancy at 16 weeks of gestation was admitted to the ward at midnight with a history of acute abdominal pain lasting for six hours She had a previous history of primary subfertility for three years and underwent a laparotomic cystectomy and adhesiolysis four years back, where she was diagnosed with grade four endometriosis. A healthy baby was delivered and her post-partum period was uneventful
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