摘要
Introduction: A rare but severe complication of endometriosis during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP) with life threatening intraabdominal bleeding. We report the case of SHiP in an IVF twin </span><span style="font-family:Verdana;">conception with background endometriosis. Case Report: A 31-year-old</span><span style="font-family:Verdana;"> G1P0, admitted to Lagoon hospitals Ikoyi on 15</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> May 2019 for severe abdominal pain, dizziness and restlessness at 24 weeks. Examination revealed grossly distended abdomen, with diffuse tenderness and guarding. She was lethargic and pale. A significant drop in hemoglobin to 3.6 g/dL. A diagnosis of acute abdomen probably SHiP was made. She was moved to the theatre for emergency surgical resuscitation, jointly with a general surgeon. She underwent a midline laparotomy under general anesthesia. She was monitored in the intensive care unit postoperatively. She made remarkable clinical recovery and was discharged home after Fourteen days of inpatient admission. Conclusion: A greater awareness of SHiP and its associated risk factors, such as pelvic endometriosis, may facilitate the diagnosis of this condition and expedite the intervention to improve maternal and fetal outcomes.
Introduction: A rare but severe complication of endometriosis during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP) with life threatening intraabdominal bleeding. We report the case of SHiP in an IVF twin </span><span style="font-family:Verdana;">conception with background endometriosis. Case Report: A 31-year-old</span><span style="font-family:Verdana;"> G1P0, admitted to Lagoon hospitals Ikoyi on 15</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> May 2019 for severe abdominal pain, dizziness and restlessness at 24 weeks. Examination revealed grossly distended abdomen, with diffuse tenderness and guarding. She was lethargic and pale. A significant drop in hemoglobin to 3.6 g/dL. A diagnosis of acute abdomen probably SHiP was made. She was moved to the theatre for emergency surgical resuscitation, jointly with a general surgeon. She underwent a midline laparotomy under general anesthesia. She was monitored in the intensive care unit postoperatively. She made remarkable clinical recovery and was discharged home after Fourteen days of inpatient admission. Conclusion: A greater awareness of SHiP and its associated risk factors, such as pelvic endometriosis, may facilitate the diagnosis of this condition and expedite the intervention to improve maternal and fetal outcomes.
