Allouche M, Tanguy le Gac Y, Parant O
CHU Paule-de-Viguier, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France.
Gynecol Obstet Fertil. 2011 Feb;39(2):e44-6. doi: 10.1016/j.gyobfe.2010.08.032. Epub 2011 Feb 2.
Spontaneous hemoperitoneum during pregnancy is an unusual but serious event. We report a case of profuse spontaneous hemoperitoneum resulting from the rupture of a non-communicating rudimentary uterine horn at 26 weeks of gestation. An emergency laparotomy was performed and a 900 g birth weight safe infant was delivered. We performed a hemi-hysterectomy in the same time. Fetal and maternal outcomes resulted without complication. Causes of spontaneous hemoperitoneum are discussed.
孕期自发性腹腔内出血是一种罕见但严重的情况。我们报告一例妊娠26周时因非交通性残角子宫破裂导致大量自发性腹腔内出血的病例。进行了急诊剖腹手术,分娩出一名出生体重900克的健康婴儿。同时我们实施了半子宫切除术。母婴结局均无并发症。本文讨论了自发性腹腔内出血的原因。