Decidualised fallopian tube endometriotic implant causing spontaneous haemoperitoneum in a twin pregnancy

Ieera Aggarwal, Pamela Tan, Manisha Mathur
BMJ case reports · 2014 · vol. 2014 , pp. bcr2014205317 · doi:10.1136/bcr-2014-205317 · PMID:25035449 · W2168246574
review OA: bronze CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a previable twin pregnancy complicated by spontaneous haemoperitoneum from a decidualized fallopian tube endometriotic implant, requiring emergency laparotomy and hysterotomy.

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Abstract

Spontaneous haemoperitoneum in pregnancy (SHiP) is a rare but serious condition associated with an adverse pregnancy outcome. We present a case of previable twin pregnancy presenting with SHiP secondary to endometriosis, necessitating an emergency laparotomy and hysterotomy as a life-saving measure to achieve haemostasis. At laparotomy there was massive haemoperitoneum with active bleeding from the left fallopian tube and a left salpingectomy was performed. Histological examination showed haemorrhagic foci of endometriosis on the fallopian tube exhibiting florid stromal decidual change. We wish to raise awareness of this uncommon but potentially life-threatening condition requiring early recognition and prompt recourse to surgical intervention to minimise the morbidity and mortality.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Pain Endometriosis Fallopian Tubes Hemoperitoneum Pregnancy Complications Rupture, Spontaneous Abdominal Pain Abdominal Pain Abdominal Pain Adult Blood Transfusion Endometriosis Endometriosis Endometriosis Fallopian Tubes Female Fetal Death Hemoperitoneum Hemoperitoneum Hemoperitoneum

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 (20)

Cited by (10)

Source provenance

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