scholarly journals A Rare Cause of Hemoperitoneum in Pregnancy

2022 ◽  
Vol 35 (1) ◽  
pp. 59
Author(s):  
Ana Edral ◽  
Carolina Da Costa Gomes ◽  
Rita Martins ◽  
Ângela Ferreira
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman ◽  
Early Intervention ◽  
Cesarean Section ◽  
Rare Complication ◽  
Hypovolemic Shock ◽  
Posterior Surface ◽  
Spontaneous Hemoperitoneum ◽  
Poor Outcomes ◽  
In Pregnancy

Spontaneous hemoperitoneum in pregnancy is a rare complication resulting in high maternal and fetal morbidity and mortality. The authors describe the case of a pregnant woman presenting at 32 weeks of gestation with abdominal pain and free abdominal fluid on ultrasound. Laparotomy revealed a hemoperitoneum resulting from a suspected ruptured varices on the uterine posterior surface. A live newborn was delivered by cesarean-section, and hemorrhage was controlled with sutures and compression. Clinicians should be aware of this diagnosis when a pregnant woman presents with abdominal pain, anemia or hypovolemic shock. Early intervention will avoid poor outcomes for both the mother and the fetus.

scholarly journals Spontaneous Hemoperitoneum from a Ruptured Superficial Uterine Vessel in Third Trimester of Pregnancy

1970 ◽  
Vol 23 (1) ◽  
pp. 32-34
Author(s):  
Khairun Nahar ◽  
Hamida Begum ◽  
Mahmuda Khatun
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Hypovolemic Shock ◽  
Exploratory Laparotomy ◽  
Posterior Surface ◽  
Third Trimester ◽  
Uterine Vessel ◽  
Spontaneous Hemoperitoneum ◽  
Operative Recovery ◽  
Prompt Diagnosis

Spontaneous hemoperitoneum in third trimester of pregnancy is a very rare but lethal condition which demands prompt diagnosis and management for the survival of both mother and fetus. A 30 years old multipara woman presented at 34 weeks of pregnancy with acute abdominal pain and hypovolemic shock. Emergency exploratory laparotomy was done; an asphyxiated baby was born by cesarean section. One of multiple engorged superficial vessels on posterior surface of the uterus was found bleeding actively, which was then sutured. Post operative recovery of the patient was good.   doi: 10.3329/bjog.v23i1.3055   Bangladesh J Obstet Gynaecol, 2008; Vol. 23(1) : 32-34

scholarly journals Endometriosis and Risk of Adverse Pregnancy Outcome: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 10 (4) ◽  
pp. 667
Author(s):  
Kjerstine Breintoft ◽  
Regitze Pinnerup ◽  
Tine Brink Henriksen ◽  
Dorte Rytter ◽  
Niels Uldbjerg ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Cesarean Section ◽  
Placental Abruption ◽  
Gestational Hypertension ◽  
Adverse Pregnancy Outcome ◽  
Placenta Previa ◽  
Meta Analysis ◽  
Increased Risk ◽  
Spontaneous Hemoperitoneum ◽  
In Pregnancy

Background: This systematic review and meta-analysis summarizes the evidence for the association between endometriosis and adverse pregnancy outcome, including gestational hypertension, pre-eclampsia, low birth weight, and small for gestational age, preterm birth, placenta previa, placental abruption, cesarean section, stillbirth, postpartum hemorrhage, spontaneous hemoperitoneum in pregnancy, and spontaneous bowel perforation in pregnancy. Methods: We performed the literature review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), by searches in PubMed and EMBASE, until 1 November 2020 (PROSPERO ID CRD42020213999). We included peer-reviewed observational cohort studies and case-control studies and scored them according to the Newcastle–Ottawa Scale, to assess the risk of bias and confounding. Results: 39 studies were included. Women with endometriosis had an increased risk of gestational hypertension, pre-eclampsia, preterm birth, placenta previa, placental abruption, cesarean section, and stillbirth, compared to women without endometriosis. These results remained unchanged in sub-analyses, including studies on spontaneous pregnancies only. Spontaneous hemoperitoneum in pregnancy and bowel perforation seemed to be associated with endometriosis; however, the studies were few and did not meet the inclusion criteria. Conclusions: The literature shows that endometriosis is associated with an increased risk of gestational hypertension, pre-eclampsia, preterm birth, placenta previa, placental abruption, cesarean section, and stillbirth.

scholarly journals Surprise in Pandora Box: Spontaneous Intra-abdominal Hematoma in Pregnancy

2014 ◽  
Vol 6 (3) ◽  
pp. 171-172 ◽  
Author(s):  
Shruthi Sreedhar ◽  
KS Rajeswari ◽  
M Sivasundari
Keyword(s):  
Abdominal Pain ◽  
South Asian ◽  
Acute Abdominal Pain ◽  
Medical Condition ◽  
Intraperitoneal Hemorrhage ◽  
Clinical Presentations ◽  
Spontaneous Hemoperitoneum ◽  
In Pregnancy

ABSTRACT Spontaneous intraperitoneal hemorrhage is a rare medical condition associated with high mortalities. It was first described in pregnancy by Barber in 1909. Approximately in an average of 30% of reported cases, the source of bleeding was not identified. Most patients with spontaneous hemoperitoneum frequently presented with acute abdominal pain and might present a wide variety of other clinical presentations. How to cite this article Sreedhar S, Rajeswari KS, Sivasundari M. Surprise in Pandora Box: Spontaneous Intraabdominal Hematoma in Pregnancy. J South Asian Feder Obst Gynae 2014;6(3):171-172.

scholarly journals Conservative Treatment of Uterine Cervical Adenocarcinoma in Pregnancy

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Cid Almeida de Lima ◽  
Ana Cristina Macêdo Barcelos ◽  
Marina de Carvalho Paschoini ◽  
João Henrique do Amaral e Silva ◽  
Marcus Aurelho de Lima ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Neoadjuvant Chemotherapy ◽  
Conservative Treatment ◽  
Cesarean Section ◽  
Radical Surgery ◽  
Cervical Adenocarcinoma ◽  
Subsequent Fertility ◽  
Cancer Of The Cervix ◽  
Common Malignancy ◽  
In Pregnancy

Cancer of the cervix is the most common malignancy diagnosed during pregnancy, with an incidence of 1–10 cases per 10,000 pregnancies. The desire of patients to maintain pregnancy and subsequent fertility is a difficult target to be achieved and should be widely studied, since it depends on the stage of disease, gestational age at diagnosis, and the woman's desire to maintain pregnancy. We describe in this report the case of a pregnant woman with invasive cervical adenocarcinoma in stage IB1 (FIGO) initially treated with neoadjuvant chemotherapy, followed by radical surgery and cesarean section in the same surgical procedure.

scholarly journals A Fatal Sinogenic Brain Abscess in Pregnancy: Case Report and Review of Literature

2017 ◽  
Vol 06 (01) ◽  
pp. 047-049
Author(s):  
Reza Bahrami ◽  
Hossein Safari
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Brain Abscess ◽  
Rare Complication ◽  
Loss Of Consciousness ◽  
Review Of Literature ◽  
Brain Herniation ◽  
Rapid Deterioration ◽  
Good Neurologic Outcome ◽  
In Pregnancy

AbstractCerebral abscess is an extremely rare complication of pregnancy. Among reported cases of pregnancy brain abscess, most patients have shown a good neurologic outcome. Herein, we present a 25-year-old pregnant woman at 28 weeks' gestation with acute loss of consciousness and sudden brain herniation. The patient underwent an emergency craniotomy and brain abscess was evacuated, but she died after surgery. Rapid deterioration and fatal brain herniation were unique among other reports of sinogenic brain abscess during pregnancy.

scholarly journals Intracranial Meningioma Diagnosed during Pregnancy Caused Maternal Death

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Zehra Kurdoglu ◽  
Orkun Cetin ◽  
Ismail Gulsen ◽  
Deniz Dirik ◽  
M. Deniz Bulut
Keyword(s):  
Pregnant Woman ◽  
Early Intervention ◽  
Brain Tumors ◽  
Cesarean Section ◽  
Maternal Death ◽  
Gestational Age ◽  
Surgical Intervention ◽  
Intracranial Meningioma ◽  
Intracranial Tumors ◽  
Accelerated Growth

Brain tumors are rarely diagnosed during pregnancy. Accelerated growth of intracranial meningiomas during pregnancy sometimes requires urgent surgical intervention. We describe a 41-year-old pregnant woman with severe neurological decompensation requiring immediate neurosurgery. Cesarean section resulted in maternal death. Meningioma diagnosed during a viable pregnancy should be managed according to the severity of maternal neurological symptoms and gestational age of pregnancy. Early intervention for intracranial tumors during pregnancy may save maternal and fetal lives.

scholarly journals Adrenal infarction in a healthy pregnant woman

2016 ◽  
Vol 9 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Heidi Sormunen-Harju ◽  
Krista Sarvas ◽  
Niina Matikainen ◽  
Nanna Sarvilinna ◽  
E Kalevi Laitinen
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Acute Abdomen ◽  
Rare Event ◽  
Normal Pregnancy ◽  
Healthy Pregnant Woman ◽  
Upper Abdominal ◽  
Adrenal Infarction ◽  
In Pregnancy

Adrenal infarction is a very rare event but occasionally seen in hypercoagulable states. We present a case of a 31-year-old woman at 38 weeks of gestation who developed a severe upper abdominal pain and unilateral adrenal infarction due to thrombosis of the adrenal vein. The only thrombogenic factor found was pregnancy. The case highlights that adrenal infarction may complicate a normal pregnancy and should be included in the differential diagnosis of the acute abdomen in pregnancy.

Pregnant woman from southern Peru with rabies infection who delivered a healthy baby

2021 ◽  
pp. 004947552098605
Author(s):  
Arturo A Zarate ◽  
Moises Sanchez ◽  
Kevin Flores-Lovon ◽  
Mercedes Tello ◽  
Ericson L Gutierrez ◽  
...  
Keyword(s):  
Intensive Care ◽  
Pregnant Woman ◽  
Respiratory Failure ◽  
Cesarean Section ◽  
High Mortality ◽  
Premature Baby ◽  
Healthy Baby ◽  
Neurological Sequelae ◽  
Emergency Cesarean ◽  
In Pregnancy

Rabies in pregnancy is rare with a high mortality. We report a pregnant woman who developed urban rabies from the bite of an infected dog. An emergency Cesarean section was performed at 31 weeks of gestation, and a premature baby was delivered who survived and did not develop rabies. The mother, however, suffered a rapid clinical deterioration and was admitted to intensive care where a Milwaukee protocol was followed. The patient survived 19 months but developed severe neurological sequelae secondary to rabies encephalitis and finally died of respiratory failure.

scholarly journals Detection of spontaneous hemoperitoneum in a pregnancy complicated with endometriosis during caesarean section - a case report

2020 ◽  
Vol 10 (1) ◽  
pp. 401
Author(s):  
Sonali Chauhan ◽  
Jiten Sharma ◽  
Bhumika Arora ◽  
Shivika Mittal ◽  
Rita Mittal
Keyword(s):  
Risk Factor ◽  
Caesarean Section ◽  
Potential Risk ◽  
Potential Risk Factor ◽  
Posterior Surface ◽  
Spontaneous Hemoperitoneum ◽  
Threatening Condition ◽  
Gravid Females ◽  
Pain Symptoms ◽  
In Pregnancy

Endometriosis is defined as the presence of endometrial glands and stroma outside the uterus. During pregnancy endometriosis and its related pain symptoms improve due to various metabolic, hormonal, immune and angiogenesis changes that occur in pregnancy. Spontaneous hemoperitoneum in pregnancy (SHiP) is a rare but serious pregnancy complication, which is associated with high rates of maternal and foetal morbidity and mortality. Endometriosis may be a potential risk factor for SHiP. Preformation of IVF on women with endometriosis may be a potential risk factor for SHiP. In gravid females with a history of endometriosis, severe abdominal pain, and a reduction of haemoglobin, physicians should always suspect SHiP because it is a life-threatening condition for both the mother and the baby. We are reporting a case of a primigravida with term gestation, taken up for emergency caesarean section in view of non-reassuring foetal heart rate. Intraoperatively there was evidence of hemoperitoneum and multiple endometriotic lesions on the posterior surface of uterus and Pouch of Douglas, Bilateral ovaries were adherent to the endometriotic growth on the posterior surface of uterus. Postoperatively, patient was stable and was discharged on postoperative day 4.

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