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01-10-2010 | Short Communication

Hemoperitoneum in pregnancy from a ruptured varix of broad ligament

Authors: Simone Giulini, Renata Zanin, Annibale Volpe

Published in: Archives of Gynecology and Obstetrics | Issue 4/2010

Abstract

We present a case of a 31-year-old woman, gravida 4 para 1, pregnant at 33 + 2 weeks of gestational age with acute abdomen due to hemoperitoneum. Hemoperitoneum was suspected for non-specific symptoms such as acute abdominal pain, vomit, cardiotocography alterations and maternal acute anaemia. An emergency caesarean section was performed; 3 L of blood was present in abdomen. Careful exploration of the uterus, placenta, abdominal organs and vessels was negative; only a bleeding from a rupture in a varix of the left broad ligament was observed. Hemoperitoneum due to a ruptured uterine varix in pregnancy is a rare condition. The solution to prevent the development of maternal hypovolemic shock is an immediate surgical intervention. A good foetal prognosis principally depends from gestational age and from good hemodynamic maternal conditions.

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Title: Hemoperitoneum in pregnancy from a ruptured varix of broad ligament
Authors: Simone Giulini
Renata Zanin
Annibale Volpe
Publication date: 01-10-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1411-7

At a glance: The STEP trials

Springer Medicine

Hemoperitoneum in pregnancy from a ruptured varix of broad ligament

Abstract

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Abstract

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