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July 20, 2026CureusOpen Access

The Missing Culprit: Spontaneous Postpartum Hemoperitoneum With an Intact Uterus and No Identifiable Bleeding Source During Surgical Exploration

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Authors

RSRajendran SdJSS Academy of Higher Education and ResearchKCKanika ChopraMSMohammed Thaha SMadras Medical College

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Implication

Case report shows unexplained shock from hemoperitoneum in postpartum women, suggesting vigilance is essential.

Key Points

  • To highlight a rare case of spontaneous postpartum hemoperitoneum and the challenges in identifying its source.
  • Female patient at 39 weeks gestation with previous cesarean underwent VBAC.
  • Significant intraperitoneal free fluid was confirmed via bedside ultrasonography and diagnostic tapping.
  • Emergency exploratory laparotomy performed to identify bleeding source and manage hemoperitoneum.
  • Approximately 3.8 liters of hemoperitoneum with clots found without identifiable bleeding source.
  • Patient received massive transfusion and was monitored in ICU, making a satisfactory recovery.
  • Emphasizes the need for heightened awareness of this condition in postpartum women experiencing shock.

Cite This Study

Sd et al. (2026) studied this question.

synapsesocial.com/papers/6a5dbad58bd453d3397abe5chttps://doi.org/10.7759/cureus.112897
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

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