Ectopic Decidualization Causing Massive Postpartum Intraperitoneal Hemorrhage
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A postpartum hemorrhage caused by ectopic decidualization with vascular intrusion into the left hypogastric artery was observed in a patient with prior endometriosis.
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Abstract
BACKGROUND: Spontaneous intraperitoneal hemorrhage during pregnancy or in the postpartum period is a rare but dangerous phenomenon. CASE: A 41-year-old gravida 3 para 1, 9 days postpartum, presented with lower abdominal pain and hypovolemia. Emergent laparotomy revealed massive intraperitoneal hemorrhage caused by ectopic decidualization with vascular intrusion into the left hypogastric artery in an area of previously documented endometriosis. CONCLUSION: Ectopic deciduosis is usually no more than a pathologic curiosity. In a pregnant patient with spontaneous intraperitoneal hemorrhage, however, it must be considered because it results in a high incidence of maternal and neonatal mortality.
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References (13)
- A CASE OF EARLY POSTPARTUM ABDOMINAL PAIN DUE TO HAEMORRHAGIC DECIDUOSIS PERITONEI via openalex
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Cited by (40)
- Comprehensive Review of Endometriosis Based on Imaging Findings: What Radiologists Need to Know 2025
- Tumor-like ovarian endometriosis with pregnancy decidua reaction: A case report and review of the literature 2025
- A 41-Year-Old Woman with Spontaneous Hemoperitoneum in Pregnancy at 28 Weeks 2023
- Fatal complications during pregnancy and delivery in women with profound endometriosis infiltrates: what is new in general clinical practice 2023
- DIFFUSE ECTOPIC DECIDUOSIS MIMICKING AS PERITONEAL CARCINOMATOSIS: A CASE REPORT OF A YOUNG FEMALE WITH MULTIPLE SEROSAL AND OMENTAL NODULES FOUND DURING A CAESARIAN SECTION 2023
- Vaginal Hemorrhage Associated with Decidualized Rectovaginal Deep Infiltrating Endometriosis during the Third Trimester of Pregnancy: A Case Report 2022
- Obstetric and perinatal outcomes in women with endometriosis 2022
- Endometriosis and adverse pregnancy outcome 2021
- Uterine pseudoaneurysm on the basis of deep infiltrating endometriosis during pregnancy-a case report 2021
- Deciduosis of the Appendix During Pregnancy 2020
- Benign Conditions of the Ovary 2018
- Morphological and immunohistochemical characterization of spontaneous endometriosis in rhesus macaques (<i>Macaca mulatta</i>) 2017
- From Endometriosis to Pregnancy: Which is the “Road-Map”? 2017
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- Decidual Bleeding as a Cause of Spontaneous Hemoperitoneum in Pregnancy and Risk of Preterm Birth 2017
- Endometriosis and Infertility: A Systematic Review 2017
- Delivery after Operation for Deeply Infiltrating Endometriosis 2016
- Complications during pregnancy and delivery in women with untreated rectovaginal deep infiltrating endometriosis 2016
- Decidualization of Endometriosis in Macaques 2016
- Pelvic endometriosis and pregnancy: different sides of the problem 2015
- Beyond infertility: obstetrical and postpartum complications associated with endometriosis and adenomyosis 2015
- A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes 2015
- Macroscopic deciduosis in pregnancy is finally a common entity 2015
- How to Manage Bowel Endometriosis: The ETIC Approach 2015
- Decidualised fallopian tube endometriotic implant causing spontaneous haemoperitoneum in a twin pregnancy 2014
- Nonneoplastic Disorders of the Ovary 2014
- Pregnancy Complications Associated with Endometriosis 2014
- Endometriosis encountered in a primigravida and a primipara at caesarean section: Report of two cases 2014
- Hemoperitoneo en el puerperio debido a ruptura de vasos venosos uterinos asociado a endometriosis. Presentación de un caso y revisión de la literatura 2013
- Ectopic decidua in pregnancy discovered incidentally during caesarean delivery 2013
- Hemoperitoneo en el puerperio debido a ruptura de vasos venosos uterinos asociado a endometriosis. Presentación de un caso y revisión de la literatura Post-partum hemoperitoneum following uterine vessel rupture associated with endometriosis: Case report and review of the literature 2013
- La déciduose ectopique : variabilités de présentation pendant la grossesse et diagnostics différentiels 2012
- Décidualisation ectopique géante du péritoine et de l’épiploon mimant une carcinose péritonéale 2012
- Risks of adverse pregnancy outcome in endometriosis 2012
- Pregnancy-related peritoneal ectopic decidua (deciduosis): morphological and clinical evaluation 2011
- Ectopic decidua in pregnancy – Case report and a review of the literature 2011
- Hemorrhage of Ectopic Deciduosis Necessitating Emergent Surgical Resection 2011
- Laparoscopic Internal Iliac Artery Ligation for Postpartum Spontaneous Hemoperitoneum 2010
- Ectopic Decidual Reaction in the Urinary Bladder Presenting as a Vesical Tumor 2009
- Deciduosis causing perforating appendicitis in the early postpartum period following caesarean section 2008
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- last seen: 2026-06-13T06:22:48.782012+00:00
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- pubmed
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