Spontaneous Hemoperitoneum in the Immediate Post-Partum Caused by Endometriosis and Labour

Spontaneus hemoperitoneum (SH) during pregnancy, although uncommon, may arise from a wide variety of causes. It has been reported to occur during pregnancy, labour, and the early postpartum period. Though advances in anaesthetic, resuscitative, and operative techniques have played a role in lowering the maternal mortality rate from 49% in 1950 to 3.6% in 1987, the perinatal mortality rate in women with SH remains high at 36% [1,2,3]. Prompt diagnosis and intervention are critical for improving outcomes in these patients. We hereby present a case of SH in the early post-partum period, caused by the tearing of an adhesion. This adhesion being due either to endometriosis, to the aftereffects of a previous surgical procedure or both.

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