Spontaneous hemoperitoneum during pregnancy: three case reports and literature review

Objectives: This case report presented cases with spontaneous hemoperitoneum during pregnancy.Case report: Case 1 presented with acute abdominal pain with signs of shock.Cases 2 and 3 both presented with stable vital signs and the sudden decline of fetal heart rate.Cesarean section was performed at 27, 36 +4 , and 34 gestational weeks, respectively.Bleeding sites were founded on the surface of the uterus or the parametrium.The perinatal outcome was stillbirth, live birth, and neonatal severe asphyxia.Conclusion: Careful physical examination, strict monitoring of vital signs, and timely surgical intervention are critical for improving the prognosis.