Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature

被引:14
作者
Pezzuto, Antonio [1 ]
Pomini, Paola [2 ]
Steinkasserer, Martin [2 ]
Nardelli, Giovanni Battista [1 ]
Minelli, Luca [2 ]
机构
[1] Univ Parma, Dept Obstet Gynaecol & Neonatol, Ctr Reprod Med, I-43100 Parma, Italy
[2] Gynaecol Sacro Coure Don Calabria Gen Hosp Negrar, Dept Obstet, Verona, Italy
关键词
Laparoscopy; Second trimester; Spontaneous hemoperitoneum; SPONTANEOUS RUPTURE;
D O I
10.1016/j.jmig.2009.08.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We present a case report of laparoscopic management of a spontaneous hemoperitoneum in the second trimester of pregnancy. The patient was a 40-year-old woman at 15 weeks of gestation. At laparoscopic surgery, the hemoperitoneum was evacuated, and the right-sided uterine vessels were closed with diathermocoagulation. Every pregnant woman with severe abdominal pain, vomiting, and imminent hypovolemic shock should be carefully evaluated. After ruling out the most prevalent causes of hemoperitoneum, idiopathic spontaneous hemoperitoneum should be considered. Rapid diagnosis and aggressive fluid replacement together with prompt surgical intervention may be the only chance for a favorable outcome for both mother and child in the presence of such a rare complication. Moreover, in early stages of pregnancy, the laparoscopic approach should be considered but only in the hands of experienced laparoscopic surgeons. Journal of Minimally Invasive Gynecology (2009) 16, 792-794 (C) 2009 AAGL. All fights reserved.
引用
收藏
页码:792 / 794
页数:3
相关论文
共 10 条
[1]   Spontaneous rupture of the uterine vessels in pregnancy [J].
Aziz, U ;
Kulkarni, A ;
Lazic, D ;
Cullimore, JE .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (05) :1089-1091
[2]  
BROSENS IA, FERTIL STER IN PRESS
[3]   Death or survival - progesterone-dependent cell fate decisions in the human endometrial stroma [J].
Brosens, J. J. ;
Gellersen, B. .
JOURNAL OF MOLECULAR ENDOCRINOLOGY, 2006, 36 (03) :389-398
[4]   Gene expression analysis of endometrium reveals progesterone resistance and candidate susceptibility genes in women with endometriosis [J].
Burney, Richard O. ;
Talbi, Said ;
Hamilton, Amy E. ;
Vo, Kim Chi ;
Nyegaard, Mette ;
Nezhat, Camran R. ;
Lessey, Bruce A. ;
Giudice, Linda C. .
ENDOCRINOLOGY, 2007, 148 (08) :3814-3826
[5]  
Carr SR, 2001, AM SURGEON, V67, P374
[6]  
GINSBURG KA, 1987, OBSTET GYNECOL, V69, P474
[7]  
HODGKINSON CP, 1950, AM J OBSTET GYNECOL, V59, P1112
[8]   Idiopathic spontaneous hemoperitoneum during pregnancy [J].
Koifman A. ;
Weintraub A.Y. ;
Segal D. .
Archives of Gynecology and Obstetrics, 2007, 276 (3) :269-270
[9]   SPONTANEOUS RUPTURE OF THE UTERINE ARTERY IN PREGNANCY [J].
STEINBERG, LH ;
GOODFELLOW, C ;
RANKIN, L .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1993, 100 (02) :184-184
[10]  
Wu Cheng-Yu, 2007, Taiwan J Obstet Gynecol, V46, P77, DOI 10.1016/S1028-4559(08)60114-X