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Lemaire A, Bonnin M, Storme B, Fournet-Fayard A, Rosano G, Vernis L, Cayot S, Accocebery M, Dechelotte P, Boyer L, Gallot D, Futier E, Constantin JM, Bazin JE. Hemoperitoneum in peripartum: A case-series. J Neonatal Perinatal Med 2018; 10:451-454. [PMID: 29286937 DOI: 10.3233/npm-171659] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
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.
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Affiliation(s)
- A Lemaire
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - M Bonnin
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - B Storme
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - A Fournet-Fayard
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - G Rosano
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - L Vernis
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - S Cayot
- Anesthésistes Réanimateurs, Pôle MPO, Réanimation Adultes, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - M Accocebery
- Gynécologues Obstétriciens, Pôle Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - P Dechelotte
- Anatomopathologiste, Anatomie et Cytologie Pathologiques, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - L Boyer
- Radiologue, Imagerie Médicale et Radiologie Interventionnelle, Hôpital Gabriel Montpied, Place Henri Dunant, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - D Gallot
- Gynécologues Obstétriciens, Pôle Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - E Futier
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - J M Constantin
- Anesthésistes Réanimateurs, Pôle MPO, Réanimation Adultes, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
| | - J E Bazin
- Anesthésistes Réanimateurs, Pôle MPO, Gynécologie Obstétrique et Reproduction Humaine, Hôpital Estaing, CHU Clermont-Ferrand, 1 Place Lucie Aubrac, 63000 Clermont-Ferrand, France
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