Abstract:

Spontaneous hemoperitoneum in pregnancy(SHiP) is a very rare and serious complication of pregnancy. Closely associated with endometriosis, and lack of specificity in clinic, it will increase the morbidity of the fetus and the mother. A SHiP case was reported that both mother and fetus were safe after operation. A 30-year-old primigravida was hospitalized with persistent lower abdominal pain lasting for half an hour at 39⁺² weeks. She suffered from endometriosis and received laparoscopic surgery for rupture of ovarian endometrioma four months prior to the current pregnancy. An emergency cesarean section due to suspected fetal distress and possible placental abruption was performed and a healthy female neonatal was delivered with Apgar score of 10 at 1 min, and no placental signs of abruption. During the operation, 1 200 mL of intraperitoneal hemorrhage was seen. A new active bleeding venous vessel was seen in the middle and lower segment of the right posterior wall of the uterus. The bleeding was treated and healed by suturing. SHiP requires early detection, rapid diagnosis and appropriate intervention to improve maternal and fetal outcomes in clinical practice.

Key words: Abdominal pain, Hemorrhage, Cesarean Section, Endometriosis, Hemoperitoneum, Pregnant women, Case reports