Spontaneous hemoperitoneum during pregnancy: three case reports and literature review.

OBJECTIVES

This case report presented cases with spontaneous hemoperitoneum during pregnancy.

CASE REPORT: Case 1 presented with acute abdominal pain with signs of shock. Cases 2 and 3 both presented with stable vital signs and the sudden decline of fetal heart rate. Cesarean section was performed at 27, 36+4, and 34 gestational weeks, respectively. Bleeding sites were founded on the surface of the uterus or the parametrium. The perinatal outcome was stillbirth, live birth, and neonatal severe asphyxia.

CONCLUSION

Careful physical examination, strict monitoring of vital signs, and timely surgical intervention are critical for improving the prognosis.