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Spontaneous hepatic rupture is a rare complication that occurs in pregnant mothers with HELLP syndrome, or preeclampsia with severe features, or eclampsia. The most common symptom of hepatic rupture/hematoma is right upper quadrant pain or epigastric pain, which is similar to the presentation of preeclampsia with severe features. Therefore, the absence of specific signs and symptoms leads to a diagnostic dilemma and a delay in management.

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We present a rare case report of a patient with a congenital uterine anomaly - uterus didelphys. Who spontaneously became pregnant and completed the pregnancy successfully after peripartum hysterectomy of one uterus. The reason for the peripartum hysterectomy was a life-threatening hemorrhage with hemoperitoneum after cesarean delivery.

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Spontaneous hemoperitoneum in pregnancy (SHIP) is defined as sudden, nontraumatic intraperitoneal bleeding that occurs during pregnancy or up to 42 days postpartum. The incidence ranges between 4 and 4.9 per 100 000 births.

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Article Synopsis
  • - A case study details a woman in her 30s who experienced uterine rupture at 30 weeks of pregnancy, linked to placenta percreta, after having previous abortion treatment.
  • - She was admitted for abdominal pain and vomiting and had thrombophilia, leading to anticoagulant treatment; however, her condition worsened suddenly, requiring emergency cesarean delivery.
  • - Uterine rupture from placenta percreta is rare but serious, highlighting the need for careful monitoring of pregnant women with severe abdominal pain; individualized treatment and uterine repair are often feasible.
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Ectopic pregnancy (EP) is a life-threatening condition requiring a high clinical suspicion. This diagnosis must be considered in all female patients of reproductive age presenting with abdominal pain or discomfort who may possibly be pregnant. Ectopic pregnancies occur in a small percentage of all pregnancies and are a significant cause of maternal morbidity and mortality.

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