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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report
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Spontaneous Severe Haemoperitoneum in the Third Trimester Leading to Intrauterine Death: Case Report

机译：妊娠晚期导致子宫内死亡的自发性严重腹膜炎：病例报告

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摘要

Spontaneous haemoperitoneum during pregnancy is a rare but potentially catastrophic cause of acute abdominal pain. A healthy 37-year-old primigravida presented with acute abdominal pain and hypovolaemic shock at 37-weeks gestation. An emergency caesarean section was indicated on the clinical suspicion of placental abruption. However, an ultrasound scan confirmed the absence of a fetal heartbeat, and, in light of the mother’s haemodynamic stability, a vaginal delivery was deemed most appropriate. Subsequent imaging, due to deterioration over the following 24-hours, revealed a large heterogenous haematoma within the pelvic cavity, which was later found to be caused by severe pelvic endometriosis. Despite fertility problems associated with severe endometriosis, advanced assisted reproductive technology enables more of these patients to become pregnant, highlighting the need to be aware of this rare complication in pregnancy.
机译：怀孕期间自发性腹膜炎是罕见的但可能引起急性腹痛的灾难性原因。健康的37岁初产妇在妊娠37周时出现急性腹痛和血容量减少。由于临床怀疑胎盘早剥，建议进行紧急剖腹产。然而，超声波扫描证实没有胎儿心跳，并且鉴于母亲的血液动力学稳定性，认为阴道分娩是最合适的。由于随后的24小时恶化，随后的影像学检查显示出盆腔内有大量异质性血肿，后来发现是严重的盆腔子宫内膜异位引起的。尽管存在严重的子宫内膜异位症引起的生育问题，但先进的辅助生殖技术使更多的此类患者得以怀孕，这凸显了需要意识到这种罕见的妊娠并发症的必要性。

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