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CASE REPORT
Year : 2021  |  Volume : 8  |  Issue : 1  |  Page : 98-102

Acute abdomen in ART pregnancy


Department of Obstetrics and Gynaecology, Women and Children Hospital, JIPMER, Gorimedu, Puducherry, India

Correspondence Address:
Dr. Papa Dasari
Senior Professor, Department of Obstetrics and Gynaecology, Women and Children Hospital, JIPMER, Gorimedu, Puducherry, Pin Code: 605006.
India
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Source of Support: None, Conflict of Interest: None


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Acute abdomen during late pregnancy is a rare event. A 35-year-old second gravida with a history of previous early pregnancy loss, and two in vitro fertilization failures was hospitalized following the development of hypertension at 25 weeks and 6 days of pregnancy. She conceived under donar oocyte program because of low ovarian reserve due to stage IV endometriosis. She was type II diabetes mellitus and her blood sugars were controlled with Metformin and Insulin. At 32 weeks and 4 days of gestation, she had sudden onset pain abdomen and developed eclampsia. Preterm labor and placental abruption were suspected but there were no findings suggestive of abruption on ultrasonography. She had persistent diffuse pain abdomen and developed tachycardia and worsening pallor over 4 hours for which laparotomy was performed. At laparotomy, there was 1.5 L of hemoperitoneum due to ruptured endometriotic cyst which was adherent at fundus of uterus. Alive male baby 1.9 kg was delivered and partial cystectomy was undertaken. Both mother and baby were discharged after 14 days. Endometriosis though believed to regress during pregnancy, it can rupture during pregnancy and result in life-threatening situation.


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