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Case Reports
. 2024 Jan 31;17(1):e258052.
doi: 10.1136/bcr-2023-258052.

Spontaneous haemoperitoneum in the second trimester of pregnancy

Karen Carlson  1 , Sandy Montoya  2
Affiliations
Case Reports

Spontaneous haemoperitoneum in the second trimester of pregnancy

Karen Carlson et al. BMJ Case Rep. .

Abstract

This is a case of a spontaneous haemoperitoneum occurring in the second trimester of pregnancy which was managed with interventional radiology to avoid laparotomy and its potential consequences. We aim to raise awareness of this condition in pregnancy because the perinatal mortality rate is as high as 36%. Spontaneous haemoperitoneum in pregnancy (SHiP) has frequently been associated with vascular rupture from pre-existing endometriosis. Most cases of SHiP have been managed with laparotomy. However, transcatheter embolisation can impart lifesaving alternatives to more invasive interventions when caring for pregnant patients. More judicious use of imaging procedures may also help improve diagnostic and therapeutic pathways with SHiP. We recommend that high-risk pregnancies are managed in level IV regional perinatal healthcare centres, when possible, where subspecialists and alternative measures of management exist.

Keywords: Interventional radiology; Materno-fetal medicine; Pregnancy; Radiology; Urinary and genital tract disorders.

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Conflict of interest statement

Competing interests: None declared.

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