RT Journal Article
SR Electronic
T1 Idiopathic spontaneous haemoperitoneum at 4 weeks gestation
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e244470
DO 10.1136/bcr-2021-244470
VO 14
IS 9
A1 Emily O'Brien
A1 Rehan Feroz
A1 Sona Jasani
YR 2021
UL http://casereports.bmj.com/content/14/9/e244470.abstract
AB A 20-year-old nulliparous patient with acute-onset abdominal pain and imaging suggestive of haemoperitoneum was admitted for observation. Though, initially, haemodynamically stable, her clinical picture worsened throughout her hospitalisation and warranted two separate laparoscopies that revealed 1200 mL and 50 mL of haemoperitoneum, respectively, without an identifiable bleeding source. After serial β-human chorionic gonadotropin levels and ultrasound confirmation of a viable pregnancy 23 days later, the patient underwent a normal antenatal course and delivered a healthy infant at 37 weeks gestation. This unusual case highlights the need to consider spontaneous haemoperitoneum in pregnancy as a diagnosis, particularly in the setting of pregnancy of unknown location, even at an early stage of pregnancy.