Abadi Kidus Kebede, Jama Abdikani Hassan, Addi Hezron Adinew, Legesse Awol Yemane, Gebremichael Akebom Kidanemariam
Daruxannan General Hospital, Burao, Somaliland, Somalia.
Burao Imaging Center, Burao, Somaliland, Somalia.
Int Med Case Rep J. 2023 Sep 20;16:561-569. doi: 10.2147/IMCRJ.S434157. eCollection 2023.
Spontaneous hemoperitoneum during pregnancy, caused by rupture of uterine vessels, is a rare and dangerous complication that can lead to maternal and foetal death. We presented a case of a 25-year-old primigravid woman with severe abdominal pain, distension, and hemodynamic instability at 33 weeks of gestation. An ultrasound and computed tomography scan of the abdomen and pelvis revealed intraperitoneal fluid collection with a non-viable intrauterine pregnancy. Following this, we did an emergency exploratory laparotomy with suturing the ruptured uterine vessel and delivered a freshly dead fetus. This case highlighted the rare occurrence of spontaneous hemoperitoneum due to rupture of the uterine vessel during pregnancy and the need for urgent intervention to avoid complications.
孕期自发性腹腔内出血由子宫血管破裂引起，是一种罕见且危险的并发症，可导致母婴死亡。我们报告了一例25岁初孕妇，在妊娠33周时出现严重腹痛、腹胀和血流动力学不稳定。腹部和盆腔的超声及计算机断层扫描显示腹腔内有积液，宫内妊娠无法存活。在此之后，我们进行了急诊剖腹探查术，缝合破裂的子宫血管，并娩出一个刚死亡的胎儿。该病例突出了孕期子宫血管破裂导致自发性腹腔内出血的罕见情况以及紧急干预以避免并发症的必要性。
