Endometriosis Scarring-A Potential Etiology for Spontaneous Hemoperitoneum in Pregnancy

Kollikonda S, Swapna Kollikonda, Chavan M, Monica Chavan
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021 · vol. 43(8) , pp. 998–1000 · doi:10.1016/j.jogc.2021.03.013 · PMID:33798766 · W3142623913
Case report OA: closed CC0 ⤵ 2 in-corpus citations
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This paper explores endometriosis scarring as a potential cause for spontaneous hemoperitoneum, a condition of blood in the abdominal cavity, occurring during pregnancy.

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Abstract

BACKGROUND: Endometriosis is a common condition characterized by the accumulation of dense adhesions and scar tissue around the pelvic organs, which can lead to complications. Disruption of endometriotic scar tissue is rare but can lead to spontaneous intraperitoneal hemorrhage in pregnancy. CASE: We present the case of a patient admitted for signs of labour at 40 weeks gestation. At emergency cesarean delivery for cord prolapse, the patient was found to have a massive intraperitoneal bleed. Mechanical disruption of endometriotic scar tissue during positioning for an epidural may have been the precipitating event, as the symptoms of spontaneous hemorrhage, including hypotension and pain, appeared immediately afterward. CONCLUSION: Without the cord prolapse, cesarean delivery would have been delayed and the spontaneous hemorrhage might have been missed. This case report alerts obstetricians to have a high index of suspicion for spontaneous hemorrhage in pregnant patients with a history of advanced-stage endometriosis, as this event can be life-threatening to mother and baby.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Labor, Obstetric Labor, Obstetric Cesarean Section Cesarean Section Cicatrix Cicatrix Cicatrix Female Female Hemoperitoneum Hemoperitoneum Hemoperitoneum Hemoperitoneum Humans Humans Pregnancy Pregnancy

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (10)

Cited by (2)

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License: CC0 · commercial use OK