Postcoital haemoperitoneum: a cause for shock.
Postcoital haemoperitoneum rarely occurs without evident vaginal injury. A 21-year-old second gravida woman presented to the ED in shock with a history of 8 weeks amenorrhoea and abdominal pain of 20 h duration. The ultrasound examination revealed a live intrauterine pregnancy and fluid in peritoneal cavity. There was a history of coitus 2 hours prior to the onset of pain. At laparotomy, more than 2 L of free blood was found in the peritoneal cavity. A small bleeding peritoneal vessel in pouch of Douglas was identified and ligated.
Goswami
Anu
A
BP Koirala Institute of health Sciences, Nepal, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. anugo111@rediffmail.com
S Raghavan
Subrahmanian
S
Ghotekar
Lekharaj H
LH
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003075:Coitus; D004312:Douglas' Pouch / Q000293:injuries*; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011247:Pregnancy; D012769:Shock / Q000209:etiology