29yrs old Primi at 24 weeks of pregnancy was brought to the emergency by ambulance in shock with complaints of sudden onset of epigastric pain and dizziness. There was no complaint of bleeding per vaginum.
The patient was resuscitated and urgent ultrasound was done which revealed massive hemoperitoneum with intra uterine fetal death. Emergency laparotomy was done through midline vertical incision (with differential diagnosis of ruptured uterus, abruption, non-obstetric causes of bleeding) with arrangements being made for blood and blood products. Laparotomy findings were as follows;
1. Hemoperitoneum 4 litre with clots. Continue reading “Spontaneous Hemoperitoneum in Pregnancy From a Ruptured Superficial Uterine Vessel”
Mr. Syed Faizal, a 44 year old man was brought to Aster Hospital’s Emergency on 17th July 2017, at midnight. He was brought in the Ambulance on a stretcher complaining of severe pain and deformity of his left hip.
The patient was unable to move his left leg because of severe pain which made it difficult to shift him to the bed from the stretcher. The patient had a history of a trivial fall at his residence where he slipped and fell on the floor while hitting the edge of a door. He was brought to the ER by his colleagues.