Endometriosis-Related Hemoperitoneum in Pregnancy: A Diagnosis to Keep in Mind
Case report
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⤵ 19 in-corpus citations
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This case report describes a pregnant patient who experienced spontaneous hemoperitoneum, leading to ovarian laceration requiring an emergency cesarean section and annessiectomy.
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Abstract
BACKGROUND: Endometriosis is an important gynecologic clinical entity, pathologically defined by the ectopic presence of endometrium and frequently associated with pelvic pain, that affects approximately 10% of females of reproductive age. A rare but severe complication of endometriosis during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP), severe intraabdominal bleeding that can be life threatening.
CASE REPORT: We present the case of a patient with SHiP at 29 weeks of pregnancy. A supraumbilical midline laparotomy was performed, and pelvic exploration revealed a lacerated and bleeding right ovary. Right annessiectomy was performed, and a cesarean section was performed because hemostasis was not achievable. A healthy baby was born, and hemostasis was finally achieved.
CONCLUSION: We believe that in gravid females with a history of endometriosis, severe abdominal pain, and a reduction of hemoglobin, physicians should always suspect SHiP. Because SHiP is a life-threatening condition for both the mother and the baby, a prompt diagnosis must lead to prompt treatment.
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References (7)
- Endometriosis, assisted reproduction technology, and risk of adverse pregnancy outcome via openalex
- Endometriosis is a possible risk factor for spontaneous hemoperitoneum in the third trimester of pregnancy via openalex
- Pregnancy outcomes in women with endometriosis via openalex
- Risks of adverse pregnancy outcome in endometriosis via openalex
- Severe intraabdominal bleeding caused by endometriotic lesions during the third trimester of pregnancy via openalex
- Spontaneous rupture of the uterine vessels in pregnancy via openalex
- W2029393816 via openalex
Cited by (19)
- Endometriosis-associated spontaneous major haemoperitoneum in pregnancy 2024
- Spontaneous hemoperitoneum in a 29-week pregnancy with a history of endometriosis: A case report and review of the literature 2024
- Spontaneous uterine venous plexus complicated with ovarian rupture in the third trimester of pregnancy: a case report 2023
- Two cases of spontaneous rupture of the uterine artery in the perinatal period: A case report 2023
- Spontaneous hemoperitoneum in pregnancy due to rupture of uterine vessels in woman with endometriosis: a case report 2023
- Endometriosis-Related Spontaneous Hemoperitoneum in the Third Trimester: A Case Report 2022
- Endometriosis-related spontaneous hemoperitoneum in the early second trimester: A case report 2021
- Endometriosis Scarring-A Potential Etiology for Spontaneous Hemoperitoneum in Pregnancy 2021
- Rare and acute complications of endometriosis in pregnant women 2021
- A Relationship Between Endometriosis and Obstetric Complications 2020
- Endometriosis-related spontaneous haemoperitoneum in pregnancy - case report and literature review 2019
- Reproductive, obstetric, and perinatal outcomes of women with adenomyosis and endometriosis: a systematic review and meta-analysis 2019
- Four Case Reports of Endometriosis-Related Hemoperitoneum in Pregnancy 2018
- Endometriosis Nodule Causing Spontaneous Haemoperitoneum in Pregnancy: A Case Report and Literature Review 2017
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis - A systematic review of the recent literature 2017
- Decidual Bleeding as a Cause of Spontaneous Hemoperitoneum in Pregnancy and Risk of Preterm Birth 2017
- Recurrent Hemoperitoneum During Pregnancy in Large Deep Endometriosis Infiltrating the Parametrium 2016
- Pregnancy outcomes in women with endometriosis 2013
Source provenance
- europepmc
- last seen: 2026-10-12T06:17:10.165071+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:16:31.290043+00:00
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