Ileal perforation and massive intestinal haemorrhage from endometriosis in pregnancy: case report and literature review

Ai Nishikawa, Nishikawa A, Eiji Kondoh, Junzo Hamanishi, Ken Yamaguchi, Akihiko Ueda, Yukiyasu Sato, Ikuo Konishi, Konishi I
European journal of obstetrics, gynecology, and reproductive biology · 2013 · vol. 170(1) , pp. 20–24 · doi:10.1016/j.ejogrb.2013.04.018 · PMID:23763952 · W2097255021
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a rare instance of a pregnant patient experiencing ileal perforation and massive intestinal hemorrhage due to endometriosis.

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Abstract

An increasing number of women with severe endometriosis have conceived through assisted reproductive technology, but endometriosis can cause life-threatening complications for both the mother and baby during pregnancy. We describe a case of endometriosis-induced spontaneous ileal perforation in pregnancy with massive intestinal haemorrhage that required caesarean section, right hemicolectomy and terminal ileum resection at 33 weeks of gestation. Spontaneous perforation associated with intestinal endometriosis in pregnancy is a rare complication, and only seven cases have been reported in the English literature. To the best of our knowledge, this is the first report of spontaneous ileal perforation due to endometriosis. Moreover, this is probably the first case of massive intestinal haemorrhage in pregnancy that resulted from intestinal endometriosis. These risks must be explained to couples suffering from endometriosis-related infertility prior to conception by assisted reproductive technology, and multidisciplinary management may be mandatory for women with severe endometriosis in pregnancy.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Gastrointestinal Hemorrhage Ileal Diseases Intestinal Perforation Pregnancy Complications Adult Endometriosis Endometriosis Female Gastrointestinal Hemorrhage Gastrointestinal Hemorrhage Gastrointestinal Hemorrhage Humans Ileal Diseases Ileal Diseases Ileal Diseases Ileum Ileum Intestinal Perforation Intestinal Perforation

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 (15)

Cited by (26)

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