Korean J Perinatol.  2014 Mar;25(1):27-32. 10.14734/kjp.2014.25.1.27.

A Case of Successful Conservative Management for Spontaneous Hemoperitoneum in the 3rd Trimester Pregnancy

• Bae JG
• Park JC
• Rhee JH
• Kim JI

• KMID: 1917230
• DOI: http://doi.org/10.14734/kjp.2014.25.1.27

Abstract

At early stage of pregnancy, hemoperitoneum often occurs in heterotopic ectopic pregnancy or bleeding of hyperstimulated ovary and can be managed easily by laparoscopic surgery while maintaining pregnancy. But in the 3rd trimester pregnancy, surgical management without delivery is very difficult and preterm birth is inevitable because of life-threatening complications not only for mother but fetus. We present a woman with 31 weeks and 3 days' gestation and spontaneous hemoperitoneum that was treated by conservative management without preterm delivery successfully. A review of the literature was undertaken.

Keyword

Hemoperitoneum; Pregnancy; Conservative management

MeSH Terms

Female
Fetus
Hemoperitoneum*
Hemorrhage
Humans
Laparoscopy
Mothers
Ovary
Pregnancy*
Pregnancy, Ectopic
Premature Birth

Figure

• 

  Fig. 1. (A) Magnetic resonance image (MRI) showes hemorrhage in both paracolic gutter (arrows). (B) Also in perihepatic area, hemorrhage is seen (arrow head).

• 

  Fig. 2. MRI showes uterine didelphys. Right hemiuterus has two fetuses and left hemiuterus has thick deciduas (arrow).

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  Fig. 3. (A) On cesarean section. Uterine didelphys is seen. There were many decidualized endometriotic plaques on the surface of uterus which were compressed for bleeding control. (B) Engorged vessels are especially prominent on both hemiuteri.

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