Prevalence of acute hemoperitoneum in patients with endometriotic ovarian cysts: a 7-year retrospective study

N Evangelinakis, Evangelinakis N, Nikolaos Evangelinakis, Grammatikakis I, Ioannis Grammatikakis, I Grammatikakis, G Salamalekis, Salamalekis G, George Salamalekis, V. Tziortzioti, Tziortzioti, Tziortzioti V, Samaras C, C Samaras, Constantine Samaras, Charalambos Chrelias, Chrelias C, C Chrelias, Dimitrios Kassanos, D Kassanos, Kassanos D
Clinical and experimental obstetrics & gynecology · 2009 · vol. 36(4) , pp. 254–5 · PMID:20101861 · W2437144275
Observational OA: closed CC0 ⤵ 18 in-corpus citations
View on OpenAlex View on PubMed
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This 7-year retrospective study found that acute hemoperitoneum occurred in 2.22% of women with endometriotic ovarian cysts, with a ruptured cyst being the identified source of bleeding in all cases.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

INTRODUCTION: Endometriosis is a quite common condition in women of reproductive age. The purpose of this study is to delineate the association between hemoperitoneum and endometriosis. MATERIALS & METHODS: The records of all patients with endometriotic ovarian cysts treated at the 3rd Department of Obstetrics and Gynecology of the University of Athens and at "Lito" Maternity Hospital of Athens from 2000 through 2007 were reviewed. RESULTS: During this 7-year period 720 women underwent surgery due to endometriotic ovarian cysts. The average age was 40.9 years (range: 17-70). The median diameter of the cysts was 4.49 cm and 59% were located in the right ovary. Hemoperitoneum was identified in 16 (2.22%) of them. The average age of these women was 28.5 years (range: 22-44). Ten (62.5%) of these women presented with acute and strong abdominal pain and moderate signs of cardiovascular shock. The rest presented with abdominal pain and distension worsening at the onset of menses, nausea and/or vomiting and hemorrhagic fluid in the pelvis. Ultrasound examination was performed in all women and afterwards they underwent laparoscopy to identify the source of bleeding. In all cases a ruptured endometriotic cyst was found. In 68.8% (11/16) the ruptured cyst was located in the left ovary and the rest (31.2%) in the right. A thorough examination did not reveal any other sources of bleeding. No operative complications were observed. DISCUSSION: The simultaneous occurrence of ascites and endometriosis is rare. A physician, though, must always take into consideration endometriosis in the differential diagnosis of ascites and acute abdominal pain or pelvic mass.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Hemoperitoneum Hemoperitoneum Ovarian Cysts Ovarian Cysts Adolescent Adolescent Adult Adult Aged Aged Endometriosis Endometriosis Endometriosis Female Female Greece Greece Greece Hemoperitoneum

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 ]

Cited by (18)

Source provenance

europepmc
last seen: 2026-10-14T06:08:39.101224+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:07:19.155540+00:00
License: CC0 · commercial use OK