Abstract

CURZEL, Noemi; LANDIM, Elsa; COSTA, Teresa Diniz  and  FERREIRA, Ana Paula. Retroperitoneal hematoma after vaginal delivery caused by avulsion of the right ovarian vein. A rare complication. Acta Obstet Ginecol Port [online]. 2023, vol.17, n.4, pp.308-312.  Epub Dec 31, 2023. ISSN 1646-5830.

Retroperitoneal hematomas are a rare but potentially life-threatening complication of pregnancy and childbirth. Due do the rarity of these events and the lack of specific signs and symptoms, the diagnosis and treatment are often delayed. The main clinical features are signs of internal bleeding, starting from isolated anemia up to hypovolemic shock. We present a case of a spontaneous retroperitoneal hematoma occurring after a completely non-traumatic vaginal delivery, caused by the avulsion of the ovarian vein from its insertion in the inferior vena cava.

Keywords : Hemoperitoneum; Pregnancy complications; Hemorrhagic shock.

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