A 29-year-old G3P1A1 presented at 8 weeks of gestation with the complaints of severe, generalized pain in the abdomen. She had taken misoprostol (400 mcg) orally as the priming agent for suction evacuation for a missed miscarriage diagnosis. She had a cesarean section 1 years ago. On examination, there was pallor with blood pressure 54/40 mm, pulse 130/min, and cold clammy extremities. The abdo...

Spontaneous hemoperitoneum is described as the presence of blood in the peritoneal cavity that is not associated with traumas. The phenomenon can be idiopathic or related to spontaneous rupture of either known or unknown pathology [1]. The cause of nontraumatic spontaneous hemoperitoneum can be classified as vascular, hematological, hepatic, splenic, gynecological, and inflammatory or coagulati...

Heterotopic pregnancy is very rare under natural circumstances. We report the case of a 28 year old Gravida2 Para1001 woman at 9 weeks of pregnancy who consulted in emergency for acute pelvic pain following metrorrhagia. Physical exam revealed hemoperitoneum without shock. An emergency ultrasonography revealed two gestational sacs, one intra-uterine and the other extra-uterine. Laparotomy was d...

Five cases of massive hemoperitoneum caused by spontaneous rupture of liver tumors, collected during a 27-year period, are reported. Four patients had a primary liver malignancy and one patient a liver cyst with hemangioma. Initial symptoms were obscure and hemoperitoneum was suspected pre-operatively in only one patient. At operation, a mean of 3100 ml of blood was found in the abdomen. Hemost...

Rudimentary uterine horn pregnancy is rare and, to our knowledge, has not been previously reported in Cameroon. We herein report the case of a 22 year old second gravida referred for acute abdominal pain at 17 weeks of gestation. Physical examination revealed hemoperitoneum with hypovolemic shock. After resuscitation, an emergency exploratory laparotomy was done and we found hemoperitoneum of 3...

UNLABELLED INTRODUCTION Hemoperitoneum may occur from an ovarian puncture point after oocyte retrieval. CASE PRESENTATION We report a case of massive hemoperitoneum following transvaginal ultrasound-guided oocyte retrieval in a 33-year-old Caucasian woman. The bleeding required emergency laparoscopy because of active bleeding from the ovarian puncture point. Hemostasis was very difficult t...

The text book definition of ectopic pregnancy referring to implantation of fertilized ovum outside the uterine cavity is not strictly true because implantation in the cervical canal, cornua and ectopic implanted on caesarean section scar are also considered as ectopic pregnancy. (Fig1) The importance of ectopic pregnancy in the twenty first century has increased with the increasing incidence de...

Wandering spleen is an uncommon clinical entity, which rarely affects children and adolescents. It is usually described in adults, being most common in the multiparous women of childbearing age. A case of a 14-year-old girl with a past history of splenomegaly and immunoglobulin A (IgA) deficiency, who presented with a sudden onset of abdominal pain, is presented. Diagnosis of hemoperitoneum sec...

Aneurysmal rupture of a mesodiverticular band has not previously been reported in the clinical literature. We are reporting a case of hemoperitoneum in a 51-year-old male after an aneurysmal rupture of a mesodiverticular band. This case demonstrates that in rare instances, a rupture of the mesodiverticular band leading to Meckel's diverticulum can lead to significant hemoperitoneum. This is usu...

Diameter of IVC on CT axial section is a important predictor of hypotension in blunt abdominal trauma. CT scan of abdomen is usually requested whenever there is hemoperitoneum/ free fluid noted on FAST USG imaging in emergency department. The diameter of IVC was measured at infrarenal part. In our review of 25 cases of MDCT abdomen in blunt abdominal trauma, 40% of the cases had FIVC and there ...