Spontaneous Severe Haemoperitoneum in 3rd Trimester leading
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Introduction
Spontaneous haemoperitoneum during pregnancy is a rare complication but can be life threatening for both mother and foetus. This complication can occur at any gestational age; however, the majority of cases develop in the third trimester. Ginsburg et al. reported that 61% of cases of unprovoked peritoneal bleeding occur antenatally, 19% intrapartum, and 21% puerperal. In 1950, a maternal mortality rate of 49% was reported; however, subsequent advances in resuscitative, anaesthetic, and operative techniques have resulted in a decline in this figure to 3.6%. Perinatal mortality due to spontaneous haemoperitoneum has remained high at 31%–36%. We report the case of a 37-year-old woman with spontaneous intra-abdominal bleeding accompanied by foetal death in utero at 37-week gestation, despite prompt admission.

Case Report
A 37-year-old woman, gravida 2 para 0, presented at 37-week gestation with severe acute abdominal pain which had commenced two hours prior to admission. Prior obstetric history included subfertility problems for two years; however, this current pregnancy was achieved naturally. An antenatal ultrasound scan revealed a left haemorrhagic ovarian cyst measuring 6??× 6??× 5?cm at 7-week gestation. An abnormal oral glucose tolerance test (OGTT) at 28-week diagnosed gestational diabetes which was diet controlled.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335503/
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