title: Postpartum hemoperitoneum due to rupture of a blood vessel on a uterine pseudo tumor: a case report.
abstract: We are reporting a case of hemoperitoneum followed by early post partum collapse due to bleeding from a ruptured vessel on the surface of an undiagnosed uterine pseudo tumor. There are literature reports of spontaneous hemoperitoneum from bleeding of superficial vessels over lying myomas during pregnancy but a case of rupture of a blood vessel on a uterine pseudo tumor leading to isolated hemoperitoneum in the immediate postpartum period is a rare event. We are presenting the literature review and some aspects of the management of this case. The importance of having a high index of suspicion in cases of hemoperitoeum occurring immediately after delivery especially in a low income setting where radiologic imaging techniques like magnetic resonance imaging (MRI); which is the most sensitive diagnostic tool in cases of ruptured vessels are rare is highlighted.
authors.affiliation: Department of Gynaecology & Obstetrics, University of Buea, Cameroon ; Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
authors.forename: Gregory Halle
authors.initials: GH
authors.lastname: Ekane
authors.affiliation: Department of Gynaecology & Obstetrics, University Teaching Hospital, Yaounde, Cameroon ; Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme, Cameroon.
authors.forename: Pierre Marie
authors.initials: PM
authors.lastname: Tebeu
authors.affiliation: Department of Gynaecology & Obstetrics, University of Buea, Cameroon ; Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
authors.forename: Thomas Egbe
authors.initials: TE
authors.lastname: Obinchemti
authors.affiliation: Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
authors.forename: Theophile Nana
authors.initials: TN
authors.lastname: Njamen
authors.affiliation: Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
authors.forename: Charlotte Tchente
authors.initials: CT
authors.lastname: Nguefack
authors.affiliation: Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
authors.forename: Jacques Tsingaing
authors.initials: JT
authors.lastname: Kamgaing
authors.affiliation: Department of Gynaecology & Obstetrics, Douala General Hospital, Douala, Cameroon.
authors.forename: Eugene Belley
authors.initials: EB
authors.lastname: Priso
mesh_terms: D000328:Adult; D005260:Female; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D049590:Postpartum Period; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000150:complications; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis; D014594:Uterine Neoplasms; D014599:Uterus / Q000098:blood supply / Q000473:pathology
keywords: Postpartum; hemoperitoneum; myomas; pregnancy; pseudotumor