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Case Reports
. 2023 Sep 20:16:561-569.
doi: 10.2147/IMCRJ.S434157. eCollection 2023.

Spontaneous Rupture of Uterine Vessels in the Third Trimester of Pregnancy Resulting in Severe Hemoperitoneum and Fetal Death: A Case Report and Literature Review

Kidus Kebede Abadi  1 , Abdikani Hassan Jama  1 , Hezron Adinew Addi  2 , Awol Yemane Legesse  3 , Akebom Kidanemariam Gebremichael  4
Affiliations
Case Reports

Spontaneous Rupture of Uterine Vessels in the Third Trimester of Pregnancy Resulting in Severe Hemoperitoneum and Fetal Death: A Case Report and Literature Review

Kidus Kebede Abadi et al. Int Med Case Rep J. .

Abstract

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.

Keywords: pregnancy; spontaneous hemoperitoneum; uterine vessel rupture.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Abdomino-pelvic ultrasound, 25 years old pregnant lady at 33 weeks gestation with spontaneous hemoperitoneum due to rupture of uterine vessels.
Figure 2
Figure 2
Abdomino-pelvic contrast enhanced computerised tomography, 25 years old pregnant lady at 33 weeks gestation with spontaneous hemoperitoneum due to rupture of uterine vessels.
Figure 3
Figure 3
Intraoperative finding, 25 years old pregnant lady at 33 weeks gestation with spontaneous hemoperitoneum due to rupture of uterine vessels.
See this image and copyright information in PMC

References

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