Bowel Endometriosis with Hemoperitoneum Complicating Pregnancy

Rosa De Vincenzo, Gian Franco Zannoni, Caterina Ricci, Carmine Conte, Valeria Masciullo
In: Journal of Endometriosis and Pelvic Pain Disorders · 2013 · vol. 5(4) , pp. 166–169 · doi:10.5301/je.5000169 · W1986738635
article OA: closed CC0 ⤵ 3 in-corpus citations
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This case report describes the successful management of a 33-year-old pregnant patient who experienced a miscarriage due to a ruptured uterine artery and bowel endometrioma at 24 weeks gestation.

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Abstract

Case Report We report a case of bowel endometriosis complicated by spontaneous hemoperitoneum and miscarriage in a 33-year-old primigravida at the 24 th week of gestation. An emergency laparotomy showed spontaneous rupture of the left uterine artery and bowel wall endometrioma. Artery suture, bowel resection and cesarean section on demised fetus were performed. Conclusions Although pregnancy may have beneficial effects on endometriosis, rare but significant endometriosis-associated pregnancy complications may also occur.

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endometriosisendometriomabowel_endometriosis

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