Magnetic resonance imaging (MRI) is the mainstay in the imaging evaluation of Mullerian agenesis, but is not routinely being utilized, particularly in India. Though sagittal MRI clearly demonstrates the absence or hypoplasia of the uterus and the axial images demonstrate the normal ovaries, it is the ability to identify and objectively evaluate other associated anomalies that makes MRI a unique diagnostic modality. It is also noninvasive and has multiplanar capabilities at the same time having a very high soft tissue resolution. We presume it can be used as a comprehensive imaging package for evaluating these patients at one sitting. We report a case of Mullarian agenesis presenting as primary amenorrhea stressing the role and benefits of MRI.

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Spontaneous uterine varices rupture is a very rare condition (1/10,000 pregnancies), leading to significant maternal and fetal morbidity and mortality. Though the exact etiology is still unknown, it seems to be associated with an increased in venous pressure. The rupture especially occurs in third trimester. We encounter a case of 31 years old primigravida with pain in abdomen since 1 day not relieved by medication. Abdominal ultrasound revealed hemoperitoneum. Emergency exploratory laparotomy revealed 1.5 litres of hemoperitoneum and confirmed the diagnosis of ‘spontaneous rupture of uterine varices’. The clinical presentation of spontaneous rupture of uterine varices is not specific and clinical examination and ultrasonographic scanning may be insufficient for diagnosis. This rare condition has to be taken into account to the differential diagnosis in a pregnant woman with severe abdominal pain. How to cite this article Dhobale S, Rajan RS, Rao KA. Hemoperitoneum in Third Trimester of Pregnancy: Unusual Cause-Spontaneous Rupture of Uterine Varices. Int J Infertil Fetal Med 2014;5(2):66-68.