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 percent in 1987, the perinatal mortality rate in women with SH remains high at 36 percent. 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 after effects of a previous surgical procedure or both.
Last date updated on September, 2014