Bertholdt C, Vincent-Rohfritsch A, Tsatsaris V, Goffinet F
Maternité Port-Royal, Université Paris Descartes, Groupe Hospitalier Cochin Broca, Hôtel-Dieu, Paris, France.
AJP Rep. 2016 Oct;6(4):e424-e426. doi: 10.1055/s-0036-1597267.
Hemoperitoneum is a life-threatening surgical emergency. Diagnosis of the cause is often difficult, in particular, during pregnancy when it may be either obstetric or nonobstetric. We report the case of a hemoperitoneum caused by the backflow of blood through a uterine tube, due to placental abruption. Hemoperitoneum in pregnant women with no other signs can reveal placental abruption. The difficulty in identifying the cause may delay appropriate management.
腹腔积血是一种危及生命的外科急症。病因诊断往往困难,尤其是在孕期,病因可能是产科或非产科的。我们报告一例因胎盘早剥导致血液经输卵管逆流引起腹腔积血的病例。无其他体征的孕妇出现腹腔积血可能提示胎盘早剥。病因识别困难可能会延误恰当的处理。