Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature
Abstract We present a case report of laparoscopic management of a spontaneous hemoperitoneum in the second trimester of pregnancy. The patient was a 40-year-old woman at 15 weeks of gestation. At laparoscopic surgery, the hemoperitoneum was evacuated, and the right-sided uterine vessels were closed...
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| Veröffentlicht in: | Journal of minimally invasive gynecology 2009-11, Vol.16 (6), p.792-794 |
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| container_title | Journal of minimally invasive gynecology |
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| creator | Pezzuto, Antonio, MD Pomini, Paola, MD Steinkasserer, Martin, MD Nardelli, Giovanni Battista, MD Minelli, Luca, MD |
| description | Abstract We present a case report of laparoscopic management of a spontaneous hemoperitoneum in the second trimester of pregnancy. The patient was a 40-year-old woman at 15 weeks of gestation. At laparoscopic surgery, the hemoperitoneum was evacuated, and the right-sided uterine vessels were closed with diathermocoagulation. Every pregnant woman with severe abdominal pain, vomiting, and imminent hypovolemic shock should be carefully evaluated. After ruling out the most prevalent causes of hemoperitoneum, idiopathic spontaneous hemoperitoneum should be considered. Rapid diagnosis and aggressive fluid replacement together with prompt surgical intervention may be the only chance for a favorable outcome for both mother and child in the presence of such a rare complication. Moreover, in early stages of pregnancy, the laparoscopic approach should be considered but only in the hands of experienced laparoscopic surgeons. |
| doi_str_mv | 10.1016/j.jmig.2009.08.007 |
| format | Article |
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The patient was a 40-year-old woman at 15 weeks of gestation. At laparoscopic surgery, the hemoperitoneum was evacuated, and the right-sided uterine vessels were closed with diathermocoagulation. Every pregnant woman with severe abdominal pain, vomiting, and imminent hypovolemic shock should be carefully evaluated. After ruling out the most prevalent causes of hemoperitoneum, idiopathic spontaneous hemoperitoneum should be considered. Rapid diagnosis and aggressive fluid replacement together with prompt surgical intervention may be the only chance for a favorable outcome for both mother and child in the presence of such a rare complication. Moreover, in early stages of pregnancy, the laparoscopic approach should be considered but only in the hands of experienced laparoscopic surgeons.</description><identifier>ISSN: 1553-4650</identifier><identifier>EISSN: 1553-4669</identifier><identifier>DOI: 10.1016/j.jmig.2009.08.007</identifier><identifier>PMID: 19896614</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Electrocoagulation ; Female ; Hemoperitoneum - complications ; Hemoperitoneum - surgery ; Humans ; Laparoscopy ; Laparoscopy - methods ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy Complications, Cardiovascular - surgery ; Pregnancy Trimester, Second ; Second trimester ; Spontaneous hemoperitoneum ; Surgery</subject><ispartof>Journal of minimally invasive gynecology, 2009-11, Vol.16 (6), p.792-794</ispartof><rights>AAGL</rights><rights>2009 AAGL</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-ca429dd20cf48df179c809a974c5f82edbbeff90fc2b48e144249b1304c7fc3e3</citedby><cites>FETCH-LOGICAL-c410t-ca429dd20cf48df179c809a974c5f82edbbeff90fc2b48e144249b1304c7fc3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1553465009004658$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19896614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pezzuto, Antonio, MD</creatorcontrib><creatorcontrib>Pomini, Paola, MD</creatorcontrib><creatorcontrib>Steinkasserer, Martin, MD</creatorcontrib><creatorcontrib>Nardelli, Giovanni Battista, MD</creatorcontrib><creatorcontrib>Minelli, Luca, MD</creatorcontrib><title>Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature</title><title>Journal of minimally invasive gynecology</title><addtitle>J Minim Invasive Gynecol</addtitle><description>Abstract We present a case report of laparoscopic management of a spontaneous hemoperitoneum in the second trimester of pregnancy. 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Moreover, in early stages of pregnancy, the laparoscopic approach should be considered but only in the hands of experienced laparoscopic surgeons.</description><subject>Adult</subject><subject>Electrocoagulation</subject><subject>Female</subject><subject>Hemoperitoneum - complications</subject><subject>Hemoperitoneum - surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - surgery</subject><subject>Pregnancy Trimester, Second</subject><subject>Second trimester</subject><subject>Spontaneous hemoperitoneum</subject><subject>Surgery</subject><issn>1553-4650</issn><issn>1553-4669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-r1DAQx4sovufqP-BBcvO0ddKmPyIiyKI-YUVxFY8hTSdL-tqkL0mVPfmvm7KLggcvM3P4fAfmM1n2lEJOgdYvhnyYzDEvAHgObQ7Q3MuuaVWVW1bX_P6fuYKr7FEIA0DZANQPsyvKW17XlF1nvw6LUhiCXkayl7P0Lig3G0U-SiuPOKGNxGlymJ2N0qJbArnByc3oTXQWl4nISGhFviPehpX87PFopVWnl2QnA5IvODsfibR9Gn8Y_LlCexPRy7h4fJw90HIM-OTSN9m3d2-_7m62-0_vP-ze7LeKUYhbJVnB-74ApVnba9pw1QKXvGGq0m2Bfdeh1hy0KjrWImWsYLyjJTDVaFViucmen_fO3t0tGKKYTFA4juejRFOyRK9lkxVnUiUXwaMWszeT9CdBQazexSBW72L1LqAVyXsKPbusX7oJ-7-Ri-gEvDoDmI5MGrwIyqBV2BuPKoremf_vf_1PXI3GGiXHWzxhGNzibdInqAiFAHFYP78-HjhA6m35G1L5qvw</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Pezzuto, Antonio, MD</creator><creator>Pomini, Paola, MD</creator><creator>Steinkasserer, Martin, MD</creator><creator>Nardelli, Giovanni Battista, MD</creator><creator>Minelli, Luca, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature</title><author>Pezzuto, Antonio, MD ; Pomini, Paola, MD ; Steinkasserer, Martin, MD ; Nardelli, Giovanni Battista, MD ; Minelli, Luca, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-ca429dd20cf48df179c809a974c5f82edbbeff90fc2b48e144249b1304c7fc3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Electrocoagulation</topic><topic>Female</topic><topic>Hemoperitoneum - complications</topic><topic>Hemoperitoneum - surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - surgery</topic><topic>Pregnancy Trimester, Second</topic><topic>Second trimester</topic><topic>Spontaneous hemoperitoneum</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pezzuto, Antonio, MD</creatorcontrib><creatorcontrib>Pomini, Paola, MD</creatorcontrib><creatorcontrib>Steinkasserer, Martin, MD</creatorcontrib><creatorcontrib>Nardelli, Giovanni Battista, MD</creatorcontrib><creatorcontrib>Minelli, Luca, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of minimally invasive gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pezzuto, Antonio, MD</au><au>Pomini, Paola, MD</au><au>Steinkasserer, Martin, MD</au><au>Nardelli, Giovanni Battista, MD</au><au>Minelli, Luca, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature</atitle><jtitle>Journal of minimally invasive gynecology</jtitle><addtitle>J Minim Invasive Gynecol</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>16</volume><issue>6</issue><spage>792</spage><epage>794</epage><pages>792-794</pages><issn>1553-4650</issn><eissn>1553-4669</eissn><abstract>Abstract We present a case report of laparoscopic management of a spontaneous hemoperitoneum in the second trimester of pregnancy. 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| ispartof | Journal of minimally invasive gynecology, 2009-11, Vol.16 (6), p.792-794 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Electrocoagulation Female Hemoperitoneum - complications Hemoperitoneum - surgery Humans Laparoscopy Laparoscopy - methods Obstetrics and Gynecology Pregnancy Pregnancy Complications, Cardiovascular - surgery Pregnancy Trimester, Second Second trimester Spontaneous hemoperitoneum Surgery |
| title | Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature |
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