Abstract

Hemoperitoneum in pregnancy especially in second and third trimester is a dangerous complication which can be life threatening. It can be due to obstetrical or non obstetrical causes which is difficult to diagnose clinically pre operatively. Obstetrical causes includes placenta percreta perforating the uterus and scar rupture. Placenta accreta spectrum(PAS) should be highly suspected in placenta previa cases with history of Prior caesarean deliveries, prior uterine surgeries or curettage even if USG findings are not suggestive of it. Early diagnosis, well preparedness and multidisciplinary approach can help in reducing maternal and fetal morbility and mortality in such cases.

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