Spontaneous hemoperitoneum in a twin pregnancy complicated by endometriosis
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This case report describes a twin pregnancy complicated by endometriosis that presented with acute abdominal pain and hypovolemic shock due to spontaneous rupture of uterine vessels.
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Abstract
UNLABELLED: Endometriosis is a common gynecologic condition in reproductive age. It is commonly believed that pregnancy has beneficial effects on endometriosis by reducing the symptoms. Although severe endometriosis is commonly associated with infertility, assisted reproductive technology such as 'in vitro fertilisation-embryo transfer', enables more patients with severe endometriosis to conceive. CASE: A primigravida with a twin pregnancy presented acute abdominal pain and hypovolemic shock at 33 weeks of gestation. Ultrasound examination revealed the absence of fetal heartbeat in one fetus and serious bradycardia in the other without echographic signs of placental abruption. Immediate laparotomy revealed massive hemoperitoneum resulting from spontaneous rupture of right uterine vessels. Two demised fetuses were delivered by cesarean section and hemostasis was accomplished. According to the literature reported, endometriosis may be involved in the rupture of these vessels.
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References (8)
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- Spontaneous Rupture of the Uterine Vessels in Pregnancy via openalex
- W2316836092 via openalex
- W2053551028 via openalex
- W1994092903 via openalex
Cited by (18)
- Spontaneous midtrimester uterine rupture in a primigravida with endometriosis: A case report and literature review 2026
- Spontaneous hemoperitoneum in a 29‐week pregnancy with a history of endometriosis: A case report and review of the literature 2024
- Spontaneous uterine venous plexus complicated with ovarian rupture in the third trimester of pregnancy: a case report 2023
- Fatal complications during pregnancy and delivery in women with profound endometriosis infiltrates: what is new in general clinical practice 2023
- Laparoscopic Surgery Combined with GnRH Agonist in Endometriosis 2019
- Reproductive, obstetric, and perinatal outcomes of women with adenomyosis and endometriosis: a systematic review and meta-analysis 2019
- Obstetrical outcome in women with endometriosis including spontaneous hemoperitoneum and bowel perforation: a systematic review 2018
- Acute haemoperitoneum due to broad ligament tears and utero-ovarian vessel rupture secondary to endometriosis 2017
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis — A systematic review of the recent literature 2017
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes 2015
- Endometriosis in a Twin Pregnancy Leading to Massive Hemoperitoneum and Intrauterine Death: A Case Report 2015
- Endometriosis: A possible cause of uterine rupture in labour? 2014
- Spontaneous Rupture of Uterine Vein in Twin Pregnancy 2013
- Bowel Endometriosis with Hemoperitoneum Complicating Pregnancy 2013
- Pitfall in the treatment of endometriosis: A case of hemoperitoneum during pregnancy after laparoscopic surgery 2011
- Une cause inattendue d’hémopéritoine en cours de grossesse 2010
- Hemoperitoneum during pregnancy with endometriosis; report of four cases 2010
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:14:18.065553+00:00
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