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Spontaneous intraperitoneal hemorrhage in the third trimester of pregnancy: Clinical suspicion made the difference

A case of spontaneous hemoperitoneum resulting from ruptured vessels in the uterine–ovarian plexus, in the third trimester of pregnancy is described. This is a rare and challenging obstetric emergency. Acute abdominal pain is the main presenting symptom. Clinical suspicion and rapid intervention consisting of emergency cesarean section with ligation of bleeding vessels resulted in favorable outcomes for both mother and baby. The importance of prompt action in the case of deteriorating vital signs is emphasized to achieve success in their management.