A rare case of spontaneous rupture of uterine surface vessels in pregnancy mimicking acute appendicitis

Spontaneous hemoperitoneum in pregnancy (SHiP), an unprovoked, non-traumatic intraperitoneal bleed in pregnancy and up to 42 days postpartum, is a rare but potentially life-threatening clinical condition. Here, we report a rare case of spontaneous rupture of uterine surface variceal vessels in the second trimester of pregnancy mimicking acute appendicitis that posed diagnostic difficulties and challenges in management.