case_images: PMC10518169_01
case_images: Abdomino-pelvic ultrasound, 25 years old pregnant lady at 33 weeks gestation with spontaneous hemoperitoneum due to rupture of uterine vessels.
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case_images: Free fluid with echo debris was observed in the peritoneal cavity, including the culde sac, paracolic gutter, and the hepatorenal recess (Figure 1).
case_images: Abdomino-pelvic contrast enhanced computerised tomography, 25 years old pregnant lady at 33 weeks gestation with spontaneous hemoperitoneum due to rupture of uterine vessels.
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case_images: Abdominopelvic Contrast-enhanced Computed tomography scan showed significant free fluid in the peritoneal cavity with an average density of 33 HU, uninterrupted uterine wall enhancement, and a well-formed foetus without contrast in the vascular system, indicating non-viability of the foetus (Figure 2).
case_images: Intraoperative finding, 25 years old pregnant lady at 33 weeks gestation with spontaneous hemoperitoneum due to rupture of uterine vessels.
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case_images: After delivery, the uterus was exteriorised, and active bleeding was detected in the ruptured left posterior uterine venous vessel (Figure 3).