Massive haemoperitoneum from endometriosis masquerading as ruptured ectopic pregnancy: case report

J T Mutihir, Mutihir JT, D D Nyango, Nyango DD
Nigerian journal of clinical practice · 2010 · vol. 13(4) , pp. 477–9 · PMID:21220870 · W1593369416
Case report OA: closed CC0 ⤵ 5 in-corpus citations
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This case report describes massive hemoperitoneum in a woman on progestogen treatment presenting as a ruptured tubal ectopic pregnancy, caused by pelvic endometriosis bleeding from the uterine artery.

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Abstract

Endometriosis is a puzzling disease affecting women of reproductive age .Although it is diagnosed frequently, no consensus exists as to the aetiology of this enigmatic disease . Common locations of ectopic endometrial growths are in the abdomen involving the pelvic structures. Like in the uterine lining, these extra-uterine endometrial growths usually respond to hormones of the menstrual cycle. The tissues build up each month, break down and cause bleeding. However, unlike the lining of the uterus, endometrial tissues outside the uterus have no way of leaving the body. The result is internal bleeding, which if moderate to severe, may lead to massive haemoperitoneum. Philip et al , report an unusual cause of acute haemoperitoneum in an asymptomatic woman with bleeding from the right uterine artery eroded by pelvic endometriosis. Areport of massive haemoperitoneum in pelvic endometriosis on progestogen treatment presenting as ruptured tubal ectopic pregnancy is presented.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hemoperitoneum Adult Adult Diagnosis, Differential Diagnosis, Differential Electrocoagulation Electrocoagulation Electrocoagulation Endometriosis Endometriosis Endometriosis Endometriosis Female Female Hemoperitoneum Hemoperitoneum Hemoperitoneum Hemoperitoneum Humans

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 ]

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