scholarly journals Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Harriet Williamson ◽  
Radha Indusekhar ◽  
Alexander Clark ◽  
Ismail M. Hassan
Keyword(s):  
Abdominal Pain ◽  
Placental Abruption ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Pelvic Cavity ◽  
Intrauterine Death ◽  
Pelvic Endometriosis ◽  
Third Trimester ◽  
Haemodynamic Stability ◽  
Death Case

Spontaneous haemoperitoneum during pregnancy is a rare but potentially catastrophic cause of acute abdominal pain. A healthy 37-year-old primigravida presented with acute abdominal pain and hypovolaemic shock at 37-weeks gestation. An emergency caesarean section was indicated on the clinical suspicion of placental abruption. However, an ultrasound scan confirmed the absence of a fetal heartbeat, and, in light of the mother’s haemodynamic stability, a vaginal delivery was deemed most appropriate. Subsequent imaging, due to deterioration over the following 24-hours, revealed a large heterogenous haematoma within the pelvic cavity, which was later found to be caused by severe pelvic endometriosis. Despite fertility problems associated with severe endometriosis, advanced assisted reproductive technology enables more of these patients to become pregnant, highlighting the need to be aware of this rare complication in pregnancy.

scholarly journals Spontaneous Rupture of Uterine Vein in Twin Pregnancy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Emek Doger ◽  
Yigit Cakiroglu ◽  
Sule Yildirim Kopuk ◽  
Bertan Akar ◽  
Eray Caliskan ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Laboratory Tests ◽  
Twin Pregnancy ◽  
Acute Abdominal Pain ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Hypovolemic Shock ◽  
Third Trimester ◽  
The Right

Objective. Aim of our study is to present a case of a twin pregnancy following invitro fertilization cycle complicated with hemoperitoneum at third trimester.Case. A 26-year-old nulliparous pregnant woman at 32 weeks of gestation with twin pregnancy following invitro fertilization cycle complained of abdominal pain. After 48 hours of admission, laparotomy was performed with indications of aggravated abdominal pain and decreased hemoglobin levels. Utero-ovarian vein branch rupture was detected on the right posterior side of uterus and bleeding was stopped by suturing the vein. Etiopathogenesis of the present case still remains unclear.Conclusion. Spontaneous rupture of the uterine vessels during pregnancy is a rare complication and may lead to maternal and fetal morbidity and mortality. Diagnosis and treatment are based on the clinical symptoms of acute abdominal pain and laboratory tests of hypovolemic shock signs.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

scholarly journals 782 A Rare Complication in A Post-Operative Bariatric Patient: COVID-19 Induced Mesenteric Venous Thrombosis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Winstanley ◽  
M Goodfellow
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Myeloproliferative Neoplasms ◽  
Rare Complication ◽  
Nasopharyngeal Swab ◽  
Thrombotic Complications ◽  
Tract Infections ◽  
Mesenteric Thrombosis

Abstract Introduction The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has provided enormous challenges in the delivery of surgical care. In addition to respiratory tract infections, coronavirus disease 2019 (COVID-19) is associated with both arterial and venous thrombotic complications. Case Details: We present a case of acute superior mesenteric venous (SMV) thrombosis in a 36-year-old female patient who underwent Roux-en-Y gastric bypass three years previously. Her presentation with acute abdominal pain occurred 6 days after a positive nasopharyngeal swab. An admission CT scan demonstrated an abrupt cut off in the proximal SMV with resultant small bowel oedema. Subsequent thrombophilia screening and mutation testing for myeloproliferative neoplasms were all negative. She had also previously carried three pregnancies to term without any thrombotic complications. Hence, the high suspicion of acute COVID-19 induced mesenteric thrombosis. Conclusions In patients who have previously undergone Rouy-en-Y gastric bypass and lost significant weight, acute abdominal pain normally raises a high suspicion of internal hernia. However, as the pandemic progresses surgeons need to be mindful of COVID-19 induced mesenteric thrombosis as a differential diagnosis during the workup of acute abdominal pain. This was well demonstrated on a CT scan with intravenous contrast.

Imaging of acute abdominal pain in the third trimester of pregnancy

BMJ ◽  
2018 ◽  
pp. k2511 ◽  
Author(s):  
J Shur ◽  
C Bottomley ◽  
K Walton ◽  
JH Patel
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Third Trimester ◽  
The Third

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 Spontaneous Hemoperitoneum Masquerading Placental Abruption: A Case Report

2014 ◽  
Vol 7 (2) ◽  
pp. 50-51 ◽  
Author(s):  
S Subedi ◽  
B Banerjee
Keyword(s):  
Placental Abruption ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Fetal Distress ◽  
Third Trimester ◽  
Obstetrics And Gynaecology ◽  
Spontaneous Hemoperitoneum ◽  
Threatening Condition ◽  
Life Threatening ◽  
Pelvic Viscera

Hemoperitoneum during pregnancy is a rare but potentially life threatening condition to both mother and fetus. Spontaneous hemoperitoneum may develop from rupture of various abdominal or pelvic viscera like spleen, pancreas and also uterus from the uterine ovarian vessels and rarely from pelvic endometrial implants. It mimics placental abruption having similar clinical presentation like acute abdominal pain, peritonitis, shock and fetal distress or fetal death. We present a case of spontaneous rupture of superficial uterine vessels in third trimester of pregnancy with an objective to share our experience in managing this rare emergency condition having diagnostic dilemmas. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11145   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 50-51

scholarly journals Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

POCUS Journal ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Stephen Lammers ◽  
Christopher Hong ◽  
Jared Tepper ◽  
Christy Moore ◽  
Cameron Baston ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Point Of Care ◽  
Pregnant Patient ◽  
Point Of Care Ultrasound ◽  
Third Trimester ◽  
Current Case ◽  
The Third ◽  
In Pregnancy

Background: Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented. Case: The current case report involves a woman who presented with acute abdominal pain in the third trimester of pregnancy and was found to have spontaneous rupture of a fibroid before the onset of labor. Her initial presentation, diagnosis through use of point-of-care ultrasound, acute surgical management, and postoperative course are described. Conclusion: When assessing acute abdominal pain in a pregnant patient, fibroid rupture should be considered despite the absence of prior uterine surgery. Bedside point-of-care ultrasonography is a useful tool for assessment of abdominal pain in the third trimester of pregnancy.

scholarly journals Idiopathic Spontaneous Adrenal Hemorrhage in the Third Trimester of Pregnancy

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Narin Nasiroglu Imga ◽  
Yasemin Tutuncu ◽  
Mazhar Muslum Tuna ◽  
Berçem Ayçıçek Doğan ◽  
Dilek Berker ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Adrenal Glands ◽  
Adrenal Tumor ◽  
Acute Abdominal Pain ◽  
Adrenal Hemorrhage ◽  
Test Results ◽  
Third Trimester ◽  
The Third ◽  
The Right

Spontaneous adrenal hemorrhage (SAH) is seen in the absence of trauma or adrenal tumor in adrenal glands. The incidence of SAH has been reported from 0.14% to 1.1% and it usually involves the right gland. During pregnancy, idiopathic unilateral SAH has been reported rarely. We present a case which comes to emergency department with an acute abdominal pain and the test results showed spontaneous left SAH.

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