Endometriosis-related spontaneous hemoperitoneum in the early second trimester: A case report

Lan-Yin Huang, Pei-Yang Hsu, Chun-Ting Chiang, Hui-Wen Chen, Hui‐Wen Chen, Meng-Hsing Wu, Meng‐Hsing Wu
Taiwanese journal of obstetrics & gynecology · 2021 · vol. 60(2) , pp. 328–330 · doi:10.1016/j.tjog.2021.01.032 · PMID:33678336 · W3135810254
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a pregnant woman with subacute abdominal pain due to endometriosis-related spontaneous hemoperitoneum, which presented like peritonitis and led to maternal shock and fetal demise.

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Abstract

OBJECTIVE: To present a rare case of endometriosis-related spontaneous hemoperitoneum in pregnancy (SHiP) with atypical subacute symptoms, which is likely to be mistaken as an infectious disease initially. CASE REPORT: A 35-year-old primigravid woman presented with diffuse lower abdominal pain and signs of peritoneal irritation for five days at 18 weeks' gestation, and the initial diagnosis was acute peritonitis. An abrupt deterioration with maternal shock and stillbirth of fetus was found in spite of close observation in emergent department. Emergent laparotomy was performed for delay-appeared hemoperitoneum. Bleeding from decidualized endometriotic tissue over posterior uterine surface was found, and hemostasis was achieved with uterine preservation. The patient recovered smoothly. CONCLUSION: SHiP is a serious obstetric complication of endometriosis with diagnostic difficulty. Its initial presentation may mimic infectious disease, so close monitoring for possible abrupt deterioration is crucial. Early detection and timely management are the key to avoid adverse pregnancy outcomes.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Pain Endometriosis Hemoperitoneum Pregnancy Complications Abdominal Pain Abdominal Pain Adult Endometriosis Female Fetal Death Fetal Death Hemoperitoneum Hemoperitoneum Humans Pregnancy Pregnancy Complications Pregnancy Complications Pregnancy Trimester, Second

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (10)

Cited by (9)

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