Massive haemoperitoneum due to uterine artery erosion by endometriosis and a review of the literature
This case report describes massive hemoperitoneum in a woman caused by pelvic endometriosis eroding into her right uterine artery, and includes a literature review comparing similar cases.
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This paper reports a 39-year-old woman with primary subfertility who developed acute symptoms with anemia and imaging-confirmed free fluid, initially managed as possible ruptured hemorrhagic ovarian cyst before worsening over 24 hours led to laparoscopy and laparotomy. Intraoperatively, laparoscopy revealed about 4.0 L hemoperitoneum, and laparotomy confirmed a ruptured right endometriotic cyst eroding into the broad ligament and uterine artery with continuous uterine artery bleeding; hemostasis required right salpingo-ophorectomy, and the authors note that histology confirmed endometriosis without malignancy. The accompanying literature review compares similar published cases of massive hemoperitoneum from uterine artery erosion and other bleeding sources, emphasizing that spontaneous uterine artery erosion by endometriosis is rare and that bleeding-source localization can be obscured by operative factors, though the paper’s conclusions are limited to case-based evidence and uncertainty about the exact disease origin. This paper is centrally about endometriosis — it describes massive hemoperitoneum caused by endometriosis eroding the uterine artery and includes a literature review of related endometriosis-associated bleeding cases.
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References (10)
- Acute Abdomen Due to Adenomyosis of the Uterus: A Case Report via openalex
- Acute Massive Haemoperitoneum Due to Mild Pelvic Endometriosis via openalex
- Endometriosis. II. Emergency operations due to hemoperitoneum. via openalex
- HAEMOPERITONEUM DUE TO CORNUAL ENDOMETRIOSIS AFTER LAPAROSCOPIC STERILISATION via openalex
- Hemoperitoneum secondary to pelvic endometriosis in pregnancy via openalex
- Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion via openalex
- Massive hemoperitoneum from endometriosis of the fallopian tube. A case report. via openalex
- Spontaneous rupture of the uterine vessels in a pregnancy complicated by endometriosis via openalex
- W1907235146 via openalex
- W2414552872 via openalex
Cited by (4)
- Acute haemoperitoneum caused by endometriosis infiltrating the uterine artery - Two case reports and a literature review 2021
- Laparoscopic hemostasis for abdominal brunt massive hemorrhage due to endometriosis 2021
- Pregnancy Complications Associated with Endometriosis 2014
- Endometriosis and major obstetrical complications 2009
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- last seen: 2026-06-10T17:14:06.276822+00:00