Acute abdomen in ART pregnancy

Paapa Dasari, MongolngnbiSairem Chanu, S. Niranjana
In: Fertility Science and Research · 2021 · vol. 8(1) , pp. 98 · doi:10.4103/2394-4285.319924 · W3195279253
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

A case report describes a 35-year-old woman undergoing assisted reproductive technology who experienced a life-threatening hemoperitoneum from a ruptured endometriotic cyst at 32 weeks gestation.

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The provided text contains only the article list and metadata (titles of multiple editorial/review/original articles and a case report) and does not include the “Acute abdomen in ART pregnancy” paper’s study methods, population, results, or limitations. As a result, the specific findings and any caveats stated by that paper cannot be determined from the content shown. The relevance to endometriosis and/or adenomyosis cannot be extracted because no endometriosis/adenomyosis content is present in the excerpt. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Acute abdomen during late pregnancy is a rare event. A 35-year-old second gravida with a history of previous early pregnancy loss, and two in vitro fertilization failures was hospitalized following the development of hypertension at 25 weeks and 6 days of pregnancy. She conceived under donar oocyte program because of low ovarian reserve due to stage IV endometriosis. She was type II diabetes mellitus and her blood sugars were controlled with Metformin and Insulin. At 32 weeks and 4 days of gestation, she had sudden onset pain abdomen and developed eclampsia. Preterm labor and placental abruption were suspected but there were no findings suggestive of abruption on ultrasonography. She had persistent diffuse pain abdomen and developed tachycardia and worsening pallor over 4 hours for which laparotomy was performed. At laparotomy, there was 1.5 L of hemoperitoneum due to ruptured endometriotic cyst which was adherent at fundus of uterus. Alive male baby 1.9 kg was delivered and partial cystectomy was undertaken. Both mother and baby were discharged after 14 days. Endometriosis though believed to regress during pregnancy, it can rupture during pregnancy and result in life-threatening situation.
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Browse Articles Editorial Abha Maheshwari Review Article Sonia Malik, Kuldeep Jain, KU Kunjumoideen, A K Pandey, Charu Jandial, Sumita Aggarwal, Sudha Prasad, Neena Malhotra Review Article Garima Kapoor, Bindu Bajaj Review Article Pinkee Saxena Review Article Pikee Saxena, Archana Mishra Review Article Pandey Divya Original Article Gittika Sharma, Abha Majumdar, Shweta Mittal Gupta Original Article Kavisha Lambhate, Jayesh Amin Original Article Suman Mishra, Bharti Jain, Shyam Shankar Original Article Shreya Nautiyal, Geeta Goswami, M. Gouri Devi Original Article Priyanka Singh, Shaheen Anjum Original Article Harpreet Kaur, Sudha Prasad Original Article Aditi Kanwatia, U.N. Jindal, Sanjeev Kumar, Anupam Gupta Original Article Geetanjali Setia, Sonia Malik Original Article Jaya Kumari, Kanad D. Nayar, Shweta Gupta, Sabina Sanan, Preeti Mehra Original Article Kavitha Bacchu, MIrudhubashini Govindarajan, Madhumitha Balasundaram, Ramya Jayaram, Tara Mahendran Case Report Paapa Dasari, Mongolngnbi Sairem Chanu, S. Niranjana

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Condition tags

endometriosis

Citation neighborhood

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References (17)

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