Ekane Gregory Halle, Tebeu Pierre Marie, Obinchemti Thomas Egbe, Njamen Theophile Nana, Nguefack Charlotte Tchente, Kamgaing Jacques Tsingaing, Priso Eugene Belley
Department of Gynaecology & Obstetrics, University of Buea, Cameroon ; Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
Department of Gynaecology & Obstetrics, University Teaching Hospital, Yaounde, Cameroon ; Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme, Cameroon.
Pan Afr Med J. 2013 Oct 17;16:57. doi: 10.11604/pamj.2013.16.57.3363. eCollection 2013.
We are reporting a case of hemoperitoneum followed by early post partum collapse due to bleeding from a ruptured vessel on the surface of an undiagnosed uterine pseudo tumor. There are literature reports of spontaneous hemoperitoneum from bleeding of superficial vessels over lying myomas during pregnancy but a case of rupture of a blood vessel on a uterine pseudo tumor leading to isolated hemoperitoneum in the immediate postpartum period is a rare event. We are presenting the literature review and some aspects of the management of this case. The importance of having a high index of suspicion in cases of hemoperitoeum occurring immediately after delivery especially in a low income setting where radiologic imaging techniques like magnetic resonance imaging (MRI); which is the most sensitive diagnostic tool in cases of ruptured vessels are rare is highlighted.
我们报告了一例因未诊断出的子宫假性肿瘤表面血管破裂导致腹腔积血并继而在产后早期发生虚脱的病例。有文献报道妊娠期肌瘤表面浅表血管出血导致自发性腹腔积血，但子宫假性肿瘤上血管破裂导致产后立即发生孤立性腹腔积血的病例实属罕见。我们现呈现该病例的文献综述及管理的某些方面。强调了在分娩后立即发生腹腔积血的病例中保持高度怀疑指数的重要性，尤其是在低收入环境中，像磁共振成像（MRI）这种血管破裂病例中最敏感的诊断工具很少见的情况下。
