Volume 8, Issue 3 (7-2010)                   IJRM 2010, 8(3): 90-0 | Back to browse issues page

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Kim T, Lee H. Hemoperitoneum during pregnancy with endometriosis; report of four cases. IJRM. 2010; 8 (3) :90-0
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-174-en.html
Abstract:   (314 Views)
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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Type of Study: Original Article |

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