AJP Rep 2016; 06(04): e424-e426
DOI: 10.1055/s-0036-1597267
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Placental Abruption Revealed by Hemoperitoneum: A Case Report

C. Bertholdt
1   Maternité Port-Royal, Université Paris Descartes, Groupe Hospitalier Cochin Broca, Hôtel-Dieu, Paris, France
,
A. Vincent-Rohfritsch
1   Maternité Port-Royal, Université Paris Descartes, Groupe Hospitalier Cochin Broca, Hôtel-Dieu, Paris, France
,
V. Tsatsaris
1   Maternité Port-Royal, Université Paris Descartes, Groupe Hospitalier Cochin Broca, Hôtel-Dieu, Paris, France
,
F. Goffinet
1   Maternité Port-Royal, Université Paris Descartes, Groupe Hospitalier Cochin Broca, Hôtel-Dieu, Paris, France
› Institutsangaben
Weitere Informationen

Publikationsverlauf

25. Juli 2016

17. Oktober 2016

Publikationsdatum:
12. Dezember 2016 (online)

Abstract

Background Hemoperitoneum is a life-threatening surgical emergency. Diagnosis of the cause is often difficult, in particular, during pregnancy when it may be either obstetric or nonobstetric.

Case We report the case of a hemoperitoneum caused by the backflow of blood through a uterine tube, due to placental abruption.

Conclusion Hemoperitoneum in pregnant women with no other signs can reveal placental abruption. The difficulty in identifying the cause may delay appropriate management.

 
  • References

  • 1 Boisramé T, Sananès N, Fritz G , et al. [Abruptio placentae. Diagnosis, management and maternal-fetal prognosis: a retrospective study of 100 cases]. Gynecol Obstet Fertil 2014; 42 (2) 78-83
  • 2 Groussolles Jr M, Merveille M, Alacoque X, Vayssiere C, Reme JM, Parant O. Rupture of a splenic artery aneurysm in the first trimester of pregnancy. J Emerg Med 2011; 41 (1) e13-e16
  • 3 Cimbanassi S, Aseni P, Mariani A, Sammartano F, Bonacina E, Chiara O. Spontaneous hepatic rupture during pregnancy in a patient with peliosis hepatis. Ann Hepatol 2015; 14 (4) 553-558
  • 4 Elghanmi A, Mohamed J, Khabouz S. Spontaneous splenic rupture in pregnancy. Pan Afr Med J 2015; 21: 312
  • 5 Pommier C, Perrin C, Dorne R, De Roissard JP, Arnould P. [Hemoperitoneum and pregnancy in a patient with von Willebrand's disease type 3]. Ann Fr Anesth Reanim 2002; 21 (5) 436-439
  • 6 Lim PS, Ng SP, Shafiee MN, Kampan N, Jamil MA. Spontaneous rupture of uterine varicose veins: a rare cause for obstetric shock. J Obstet Gynaecol Res 2014; 40 (6) 1791-1794
  • 7 Nguessan KLP, Mian DB, Aissi GA, Oussou C, Boni S. Spontaneous rupture of uterine varices in third trimester pregnancy: an unexpected cause of hemoperitoneum. A case report and literature review. Clin Exp Obstet Gynecol 2013; 40 (1) 175-177
  • 8 Gavanier D, Orsoni M, Dupuis O, Valette PJ. [Spontaneous hemoperitoneum during pregnancy and uterine artery aneurysm]. Gynecol Obstet Fertil 2012; 40 (11) 711-714
  • 9 Abdalla N, Reinholz-Jaskolska M, Bachanek M, Cendrowski K, Stanczak R, Sawicki W. Hemoperitoneum in a patient with spontaneous rupture of the posterior wall of an unscarred uterus in the second trimester of pregnancy. BMC Res Notes 2015; 8: 603
  • 10 Cozzolino M, Corioni S, Maggio L, Sorbi F, Guaschino S, Fambrini M. Endometriosis-related hemoperitoneum in pregnancy: a diagnosis to keep in mind. Ochsner J 2015; 15 (3) 262-264
  • 11 Vyjayanthi S, Rajesh U, Bloomfield TH. Haemoperitoneum due to placenta percreta in the third trimester mimicking placental abruption. J Obstet Gynaecol 2002; 22 (6) 690-691
  • 12 Blé RK, Adjoussou S, Doukoure B , et al. [Placenta percreta: a rare etiology of spontaneous uterine perforation in the second trimester of pregnancy]. Gynecol Obstet Fertil 2011; 39 (1) e11-e14