Hemoperitoneum in peripartum: A case-series

A. Lemaire*, M. Bonnin, B. Storme, A. Fournet-Fayard, G. Rosano, L. Vernis, S. Cayot, M. Accocebery, P. Dechelotte, L. Boyer, D. Gallot, E. Futier, J.M. Constantin, J.E. Bazin | JNPM 2018;

Hemorrhages are the first cause of perinatal deaths in French women. Thirteen percent of these deaths are not linked to obstetrical problems but rather to hemoperitoneum. These incidents are under-diagnosed and as a result, treatment is delayed and fetal and maternal mortality increases. We report three cases of patients, all White female in their last trimester of a non-problematic pregnancy presenting with hemoperitoneum and resulting in different outcomes. The analysis of published materials and of our cases leads us to infer that a diagnosis of hemoperitoneum must be considered in pregnant women when abdominal pain, symptoms of shock and a decrease in hemoglobin are associated. An immediate response and intensive care followed by hemostatic surgery give these patients the best chance to survive.

*Corresponding Author: 

Alexandre Lemaire, MD, Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France. Tel.: +33631386987; E-mail: a_lemaire@chu-clermontferrand.fr.