TITLE:
Spontaneous Haemoperitoneum in the Third Trimester: A Case Report
AUTHORS:
Lansage Samanthika Jayalakshmi Madies, Lasantha Yatiyana Vidana Arachchige, Fathimath Nousheeda, Julie Kelly, Muhammad Umair Butt
KEYWORDS:
Spontaneous Hemoperitoneum, Third Trimester, Omental Vessel Rupture, Intra-Abdominal Haemorrhage
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.9,
September
22,
2025
ABSTRACT: Spontaneous haemoperitoneum in pregnancy (SHiP) is a rare but potentially catastrophic condition for both mother and the fetus, particularly in late gestation when clinical features overlap with more common obstetric and non-obstetric presentations. We present this rare case of a term pregnant patient who presented with gastrointestinal symptoms and later developed progressive anaemia without overt bleeding. Her presenting symptoms initially delayed suspicion of intra-abdominal haemorrhage. Emergency caesarean section converted to exploratory Laparotomy confirmed intra-abdominal bleeding. Intraoperative findings excluded Obstetric and common non-obstetric causes for the bleeding, directing to spontaneous rupture of Omental vessels as the plausible explanation in this case with unusual clinical course. Careful monitoring of the clinical condition, timely interventions and multidisciplinary input managed to save both mother and the baby.