Abstract
Intraperitoneal haemorrhage during pregnancy or postpartum without any history of trauma (spontaneous haemoperitoneum in pregnancy [SHiP]) is a rare condition, causing significant morbidity and mortality for the mother and the neonate. We report a 27-year-old female patient with SHiP at 31 weeks of gestation who was referred to a tertiary care hospital in Muscat, Oman, in 2019, with right iliac fossa pain, pallor and tachycardia. Radiological investigations revealed intraperitoneal bleeding and a right adnexal haematoma. She was managed conservatively with blood transfusion and supportive care. At 36 weeks of gestation, lower segment caesarean section was done and a live baby with good Apgar score was delivered. Pre-operatively, she was found to have a bicornuate uterus, placenta percreta at the junction of the horns and a right adnexal haematoma. This case highlights the significance of thorough evaluation of acute abdominal pain in pregnancy in avoiding unnecessary surgical intervention and iatrogenic prematurity.
Publication details
- DOI
- 10.18295/squmj.5.2021.102
- Journal
- Sultan Qaboos University Medical Journal, 22(2), 291-294
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Santhosh, J., Kharka, L. V., Kamona, A., & Al Amri, S. S. (2025). Spontaneous Haemoperitoneum in Pregnancy with Placenta Percreta in Bicornuate Uterus with Successful Pregnancy Outcome. Sultan Qaboos University Medical Journal, 22(2), 291-294. https://doi.org/10.18295/squmj.5.2021.102
MLA 9
Santhosh, Jayasree, et al. "Spontaneous Haemoperitoneum in Pregnancy with Placenta Percreta in Bicornuate Uterus with Successful Pregnancy Outcome." Sultan Qaboos University Medical Journal, vol. 22, no. 2, 2025, pp. 291-294. https://doi.org/10.18295/squmj.5.2021.102.
Chicago (author–date)
Santhosh, Jayasree, Latha V. Kharka, Atheel Kamona, and Sumaiya Saif Al Amri. 2025. "Spontaneous Haemoperitoneum in Pregnancy with Placenta Percreta in Bicornuate Uterus with Successful Pregnancy Outcome." Sultan Qaboos University Medical Journal 22 (2): 291-294. https://doi.org/10.18295/squmj.5.2021.102.
Harvard
Santhosh, J., Kharka, L. V., Kamona, A. and Al Amri, S. S. (2025) 'Spontaneous Haemoperitoneum in Pregnancy with Placenta Percreta in Bicornuate Uterus with Successful Pregnancy Outcome', Sultan Qaboos University Medical Journal, 22(2), pp. 291-294. doi:10.18295/squmj.5.2021.102.
Vancouver
Santhosh J, Kharka LV, Kamona A, Al Amri SS. Spontaneous Haemoperitoneum in Pregnancy with Placenta Percreta in Bicornuate Uterus with Successful Pregnancy Outcome. Sultan Qaboos University Medical Journal. 2025;22(2):291-294. doi:10.18295/squmj.5.2021.102
IEEE
J. Santhosh, L. V. Kharka, A. Kamona, and S. S. Al Amri, "Spontaneous Haemoperitoneum in Pregnancy with Placenta Percreta in Bicornuate Uterus with Successful Pregnancy Outcome," Sultan Qaboos University Medical Journal, vol. 22, no. 2, pp. 291-294, 2025, doi: 10.18295/squmj.5.2021.102.