Spontaneous Intraperitoneal Haemorrhage During Pregnancy: Report of Three Cases

Hanna, W. A.; Myles, T. J. M.

doi:10.1136/bmj.1.5389.1024

Cited by 15 publications

(8 citation statements)

References 9 publications

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“…Rare cases have also been reported of bleeding during the postpartum from the ovarian (31) or uterine arteries (32) and uterine veins (25,33,34).…”

Section: Pathophysiology Of Shipmentioning

confidence: 97%

“…The literature also contains case reports of less frequently encountered causes of nontraumatic spontaneous intraperitoneal bleeding in pregnancy. Some of these relate to bleeding from nonreproductive organs, such as the splenic vein (19,22), splenic artery (25), splenic artery aneurysm (26), or the suprarenal glands (25). Bleeding has been also reported 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 ...…”

Section: Pathophysiology Of Shipmentioning

confidence: 99%

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Severe spontaneous hemoperitoneum in pregnancy may be linked to in vitro fertilization in patients with endometriosis: a systematic review

Brosens

Lier

Mijatovic

et al. 2016

Fertility and Sterility

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“…Rare cases have also been reported of bleeding during the postpartum from the ovarian (31) or uterine arteries (32) and uterine veins (25,33,34).…”

Section: Pathophysiology Of Shipmentioning

confidence: 97%

Section: Pathophysiology Of Shipmentioning

confidence: 99%

Severe spontaneous hemoperitoneum in pregnancy may be linked to in vitro fertilization in patients with endometriosis: a systematic review

Brosens

Lier

Mijatovic

et al. 2016

Fertility and Sterility

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“…Most were diagnosed as intraabdominal hemorrhage of unknown origin. A lesion of the spleen was suspected in 12 cases but a ruptured splenic aneurysm was diagnosed preoperatively in only three [22,27,31]. Nine of the 12 mothers survived and this emphasizes the importance of the primary recognition of such a rare occurrence.…”

Section: Discussionmentioning

confidence: 99%

“…The hormones secreted during pregnancy may also weaken the vessel wall, and this is compounded by the increased blood volume and cardiac output of pregnancy leading to increased intraluminal pressures [31]. The rupture may occur in two stages.…”

Section: Discussionmentioning

confidence: 99%

Rupture of Splenic Artery Aneurysm During Pregnancy: Three Case Reports with a Review of the Literature

Algwiser

1991

Ann Saudi Med

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AA Algwiser, Rupture of Splenic Artery Aneurysm during Pregnancy: Three Case Reports with a Review of the Literature. 1991; 11(2): 221-225 Aneurysms of the splenic artery are rare. They remain silent until rupture. Because of their frequent association with pregnancy, this is a topic of special interest to obstetricians, particularly because of the difficulty in diagnosis and because it carries a very high maternal and fetal mortality. We report three cases of ruptured splenic artery aneurysm occurring in the third trimester of pregnancy and puerperium, bringing the total number of cases reported in the literature to 75. Case Reports Patient 1A 32-year-old Saudi woman (para 5, gravida 8) was admitted on 12 October 1987 at 2240 hours. Since 1300 hours she had had shortness of breath, nausea, epigastric and shoulder pain, and abdominal pain, especially over the right iliac fossa. On admission, her temperature was 37°C; pulse, 84 per minute; and blood pressure, 115/70 mm Hg. Fundal height corresponded to 38 weeks' gestation with a cephalic presentation. Fetal heart sounds were audible. The abdomen was soft, and cardiotocography showed a reactive tracing with mild uterine contractions. Vaginal examination revealed a parous cervical os, uneffaced cervix, and a high presenting part. Pulse was 80 per minute; blood pressure, 110/70 mm Hg; there was proteinuria+ but the abdomen was soft. There were no uterine contractions and no bleeding per vaginam. An intravenous line was started and the patient was given 10 mg of metoclopramide hydrochloride intramuscularly and discharged home. At 0815 hours, her condition deteriorated and she was readmitted. She was pale and hyperventilating, and her pulse had risen to 140 per minute with blood pressure dropping to 100/80 mm Hg. Her abdomen became tense and painful, and fetal parts were impossible to palpate. An urgent ultrasound was carried out which was suggestive of abruptio placentae. The patient was rushed to the obstetric theatre for emergency cesarean section. The abdomen was entered through a subumbilical midline incision and about 1,500 ml of blood was encountered in the peritoneal cavity. No bleeding source could be found.A male infant, weighing 2,760 gm with an Apgar score of 5 at 1 minute and 5 at 5 minutes, was delivered by lower-segment cesarean section. After closure of the uterus, there was no evidence of further hemorrhage in the abdominal cavity, so the abdomen was closed. While the patient was still in the recovery room, her condition deteriorated. Her pulse rose, she became pale, and the abdomen became distended. Her hemoglobin dropped to 36 gm/L. In view of this, the abdomen was re-entered through the previous incision, which was extended upward to the left costal margin. Three liters of blood clot were found in the peritoneum. At first the bleeding was thought to originate from the liver or stomach, as the uterus was intact and well contracted, but after blood was evacuated from the abdominal cavity, it was obvious that the source of bleeding was from a ruptu...

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“…Palabras clave: Espontáneo, Hematoma retroperitoneal, Linfoma de Burkitt. la región del muslo, cadera y flancos (1)(2)(3)(4)(5)(6) . Dada su baja incidencia y manifestaciones clí-nicas inespecíficas, el diagnóstico clínico de HRE habitualmente es muy difícil.…”

Section: Introductionunclassified

Hematoma retroperitoneal de causa infrecuente: A propósito de un caso

G¹,

et al. 2012

Rev. chil. radiol.

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IntroducciónEl hematoma retroperitoneal espontáneo (HRE) corresponde a una colección hemática situada en cualquiera de los 3 compartimentos retroperitoneales: pararrenal anterior, perirrenal y pararrenal posterior. Se produce sin que exista traumatismo, manipulación endourológica o endovascular previa de los elementos del retroperitoneo (1) . En la literatura no se han descrito diferencias entre el HRE y la hemorragia retroperitoneal espontánea, por lo que se las considerará sinónimos para fines de esta revisión. Es un cuadro clínico de difícil diagnóstico, que inicialmente puede ser oligosintomático (1) , sin embargo, su detección oportuna es fundamental, ya que el retraso diagnóstico determina una alta morbi-mortalidad.La etiología más frecuente de hematoma retroperitoneal espontáneo es la rotura de un aneurisma de la aorta abdominal. Otras causas de menor frecuencia son: hemorragias espontáneas de tumores renales o suprarrenales, otros tumores sólidos retroperitoneales, terapia anticoagulante, discrasias sanguíneas y patología litiásica de la vía urinaria, entre otros (1,2) . Además, se describe asociación con hipertensión arterial y arterioloesclerosis (3) . La presentación clínica del HRE se caracteriza por masa abdominal palpable, dolor lumboabdominal, hipotensión y caída del hematocrito (1,3) . Las caracterís-ticas e intensidad del dolor son variables y dependen, entre otros factores, de la localización y magnitud del hematoma. Se ha descrito irradiación del dolor hacia Retroperitoneal hematoma of unusual cause: A case report Abstract: The spontaneous retroperitoneal hematoma (SRH) is defined as a spontaneous hematic collection located in any of the retroperitoneal compartments. The most frequently encountered cause of retroperitoneal hemorrhage is a ruptured abdominal aortic aneurysm, followed by renal and adrenal tumors, along with some other less common causes. Performing accurate diagnosis of patients at admission has proven to be difficult, given that the clinical presentation is ample and variable and may mimic other pictures of abdominal or lower back pain. Imaging techniques, mainly angiography, computed tomography, and MR Imaging, represent a fundamental tool for both timely diagnosis and proper management of the condition. We report the case of a 56-year-old male patient with diagnosis of HIV, who presented with a history of abdominal pain and palpable abdominal mass. After a thorough imaging evaluation, patient was diagnosed with retroperitoneal hematoma, whose histological analysis revealed a Burkitt lymphoma.H e m a t o m a r e t r o p e r i t o n e a l d e c a u s a i n f r e c u e n t e

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Spontaneous Intraperitoneal Haemorrhage During Pregnancy: Report of Three Cases

Cited by 15 publications

References 9 publications

Severe spontaneous hemoperitoneum in pregnancy may be linked to in vitro fertilization in patients with endometriosis: a systematic review

Severe spontaneous hemoperitoneum in pregnancy may be linked to in vitro fertilization in patients with endometriosis: a systematic review

Rupture of Splenic Artery Aneurysm During Pregnancy: Three Case Reports with a Review of the Literature

Hematoma retroperitoneal de causa infrecuente: A propósito de un caso

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