At early stage of
pregnancy,
hemoperitoneum often occurs in heterotopic
ectopic pregnancy or
bleeding of hyperstimulated
ovary and can be managed easily by
laparoscopic surgery while maintaining
pregnancy. But in the 3rd trimester
pregnancy, surgical management without delivery is very difficult and
preterm birth is inevitable because of
life-threatening
complications not only for
mother but
fetus. We present a
woman with 31 weeks and 3 days'
gestation and spontaneous
hemoperitoneum that was treated by
conservative management without preterm delivery successfully. A
review of the
literature was undertaken.