A curious case of concealed abdominal hematoma in a 34-week pregnant woman, masquerading as eclampsia and diabetic ketoacidosis: A case report of maternal near-miss


Article PDF :

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Article type :

Case Report

Author :

Surya Kumar Maddala, Amit Kumar Dey, Alok Kumar Sahoo, Sweta Singh

Volume :

6

Issue :

2

Abstract :

A 34-week pregnant woman with apparently normal antenatal visits, presented to the Emergency department with drowsiness, very high blood pressure, and episodes of seizure 3 hours back. She was provisionally diagnosed as eclampsia with diabetic ketoacidosis. She was intubated and resuscitated for the same. However, in the intensive care unit, a point-of-care ultrasound of the abdomen showed free fluid and blood clots in the abdominal cavity, suggesting uterine rupture. Emergency surgical intervention saved the life of the patient.

Keyword :

POCUS, Abdominal hematoma, Uterine rupture, Maternal near-miss