Spontaneous hemoperitoneum in pregnancy due to endometriosis
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This case report describes a 38-year-old pregnant woman who experienced hemoperitoneum due to endometriosis, necessitating emergency delivery and hysterectomy.
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Abstract
Background: Hemoperitoneum in pregnancy requires urgent evaluation. While spontaneous intraperitoneal bleeding is rare, ectopic endometrial tissue is a frequent cause of this event. Case: A 38-year-old woman with a history of endometriosis presented at 26 weeks gestation with 1 week of vague abdominal pain. Vital signs were within normal limits, and physical exam was notable for left-sided abdominal tenderness. Imaging demonstrated simple free fluid in her pelvis, concern for a uterine fundal defect and an adjacent hematoma. Exploratory laparotomy revealed hemoperitoneum secondary to highly vascularized stage 4 endometriosis. After classical cesarean delivery, a supracervical hysterectomy with bilateral oophorectomy was performed due to ongoing global pelvic hemorrhage. Conclusion: Consider endometriosis as a cause of spontaneous hemoperitoneum in pregnancy. Obstetricians should be prepared for significant maternal morbidity when encountering such pathology.
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References (10)
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- Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion via openalex
- Severe intraabdominal bleeding caused by endometriotic lesions during the third trimester of pregnancy via openalex
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis — A systematic review of the recent literature via openalex
- Spontaneous Hemoperitoneum in Pregnancy Treated with Transarterial Embolization of the Uterine Artery via openalex
- Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature via openalex
- W2465610294 via openalex
- W2029393816 via openalex
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- last seen: 2026-06-10T17:14:06.276822+00:00
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