Hemoperitoneum during pregnancy with endometriosis; report of four cases
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This report describes four cases of hemoperitoneum in pregnant patients with endometriosis, suggesting a link between endometriosis and this rare, life-threatening complication.
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Abstract
Background: Endometriosis is a chronic inflammatory gynecologic disease. Problems associated with endometriosis include dysmenorrhea, dyspareunia, and infertility. While endometriosis does not generally cause complications during pregnancy, endometriosis clearly causes complications before pregnancy. Cases: We report four patients with endometriosis who developed a hemoperitoneum during pregnancy, suggesting that endometriosis may be involved in the development of a hemoperitoneum. The patients were diagnosed with endometriosis during surgery or underwent laparoscopic resection of endometriosis. There were one hemoperitoneum that occurred in the second trimester and one hemoperitoneum occurred in the third trimester. Two hemoperitoneums occurred at the time of vaginal delivery. Conclusion: A spontaneous hemoperitoneum during pregnancy is a rare and life-threatening condition because of the high maternal and fetal mortality rates. The presence of surgical scar tissue and deep infiltrated endometriotic lesions located under dense adhesions in the cul-de-sac could have been avulsed by uterine contractions and pushing in labor.
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References (9)
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- Spontaneous hemoperitoneum in a twin pregnancy complicated by endometriosis via openalex
- Uterine Vein Rupture at Delivery as a Delayed Consequence of Laparoscopic Surgery for Endometriosis: A Case Report via openalex
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Cited by (6)
- Spontaneous hemoperitoneum in a 29-week pregnancy with a history of endometriosis: A case report and review of the literature 2024
- Ruptura espontânea de artéria uterina por foco de endometriose: relato de caso 2018
- Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis — A systematic review of the recent literature 2017
- Re: Spontaneous haemoperitoneum in pregnancy and endometriosis: a case series How can we handle a rare (but very serious) condition exhibiting only common symptoms during pregnancy? 2017
- Differences in omega-3 and fatty acid profiles between patients with endometriosis and those with a functional ovarian cyst 2013
- Cervical Endometriosis in a Post-menopausal Woman: A Case Report 2011
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- last seen: 2026-06-10T17:14:06.276822+00:00
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