A Very Rare Case of Endometriosis Presenting With Massive Hemoperitoneum

Togami S, Shinichi Togami, Kobayashi H, Hiroaki Kobayashi, Haruyama M, Maki Haruyama, Yuji Orita, Orita Y, Masaki Kamio, Kamio M, Tsutomu Douchi, Douchi T
Journal of minimally invasive gynecology · 2015 · vol. 22(4) , pp. 691–693 · doi:10.1016/j.jmig.2015.02.014 · PMID:25728863 · W2002253866
article OA: closed CC0 ⤵ 9 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a rare instance of endometriosis causing a large accumulation of blood in the abdominal cavity.

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Abstract

Endometriosis is a cause of acute abdomen because of the leakage or rupture of endometriotic cyst and tubo-ovarian abscess. However, massive hemoperitoneum as a cause of acute abdomen with endometriosis is very rare. We herein present a case of a 48-year-old woman who was urgently referred to our clinic with colic, abdominal distension, and hypovolemic shock during menstruation. Ultrasonography revealed massive hemorrhagic ascites. Exploratory laparoscopy was urgently performed to achieve hemostasis. The volume of hemoperitoneum evacuated from the pelvis was 1,890 mL. Although the uterus and bilateral ovaries were normal, fresh bleeding was observed from endometriosis on the left cul-de-sac peritoneum, and hemostasis was successfully performed. The potential occurrence of hemorrhagic shock associated with endometriosis, depending on the implantation site, needs to be recognized.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Hemoperitoneum Laparoscopy Uterus Abdomen, Acute Abdomen, Acute Ascites Ascites Endometriosis Endometriosis Female Hemoperitoneum Hemoperitoneum Humans Menstruation Middle Aged Treatment Outcome Uterus

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (19)

Cited by (9)

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europepmc
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License: CC0 · commercial use OK