TITLE:
Spontaneous Haemoperitoneum in Pregnancy: A Case Report
AUTHORS:
Zubaida Aliyu, Ugochukwu Ekwunife, Olatunbosun Oke, Simon Oladele Isawunmi, Kayode Adetifa, Fatai Kunle Ajayi, Olusegun Akinniranye, Joseph Alozie
KEYWORDS:
Hemoperitoneum, Pregnancy, Endometriosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.2,
February
25,
2021
ABSTRACT: Introduction: A rare but severe complication of endometriosis
during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP) with life threatening
intraabdominal bleeding. We report the case of SHiP in an IVF twin conception with background endometriosis. Case Report:
A 31-year-old G1P0, admitted to Lagoon hospitals Ikoyi on 15th May 2019 for severe abdominal pain, dizziness and restlessness at 24 weeks. Examination
revealed grossly distended abdomen, with diffuse tenderness and guarding. She was
lethargic and pale. A significant drop in hemoglobin to 3.6 g/dL. A diagnosis of
acute abdomen probably SHiP was made. She was moved to the theatre for emergency
surgical resuscitation, jointly with a general surgeon. She underwent a midline
laparotomy under general anesthesia. She was monitored in the intensive care unit
postoperatively. She made remarkable clinical recovery and was discharged home after
Fourteen days of inpatient admission. Conclusion: A greater awareness of SHiP and
its associated risk factors, such as pelvic endometriosis, may facilitate the diagnosis
of this condition and expedite the intervention to improve maternal and fetal outcomes.