Rupture of endometriotic ovarian cyst causes acute hemoperitoneum in twin pregnancy

P Reif, Reif P, Philipp Reif, Wolfgang Schöll, Schöll W, Philipp Klaritsch, Lang U, Uwe Lang
Fertility and sterility · 2011 · vol. 95(6) , pp. 2125.e1–2125.e3 · doi:10.1016/j.fertnstert.2011.01.023 · PMID:21315338 · W2106737391
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

A ruptured endometriotic ovarian cyst in a twin pregnancy led to acute hemoperitoneum, requiring urgent surgical intervention.

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Abstract

ObjectiveTo present a case of an acute hemoperitoneum caused by a ruptured ovarian cyst in a late twin pregnancy.DesignCase report study.SettingDepartment of Obstetrics and Gynecology, Medical University of Graz, Austria.Patient(s)A woman with a history of surgery for endometriosis and currently pregnant with dichorionic twins after IVF presented with acute abdominal pain.Intervention(s)Serial ultrasound assessment revealed a massive hemoperitoneum that was caused by a ruptured endometriotic ovarian cyst. Emergency laparotomy was performed.Main outcome measure(s)Hemostasis.Result(s)Laparotomy led to operative hemostasis and preterm cesarean section of healthy twins at 27 weeks of gestation.Conclusion(s)Endometriosis occurs in about 10% of women of reproductive age and carries an infertility rate of up to 50%. Severe endometriosis used to be a rare event in patients with spontaneously conceived pregnancies. However, during the last decade, the increased use of assisted reproductive technologies has led to higher fertility rates in patients with endometriosis and to a higher incidence of multiple gestations. Therefore, the number of pregnant women with endometriosis and associated complications may rise.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hemoperitoneum Ovarian Cysts Ovarian Diseases Pregnancy, Multiple Pregnancy, Multiple Twins Acute Disease Adult Endometriosis Endometriosis Female Hemoperitoneum Hemoperitoneum Humans Infant, Newborn Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Diseases

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.

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