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

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

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.
Full-Text [PDF 156 kb]   (52 Downloads) |   |   Full-Text (HTML)  (6 Views)  
Type of Study: Original Article |

1. Stephansson O, Kieler H, Granath F, Falconer H. Endometriosis, assisted reproduction technology, and risk of adverse pregnancy outcome. Hum Reprod 2009; 24: 2341-2347. [DOI:10.1093/humrep/dep186]
2. Imseis HM, Murtha AP, Alexander KA, Barnett BD. Spontaneous rupture of a primigravid uterus secondary to placenta percreta. A case report. J Reprod Med 1998; 43: 233-236.
3. Bulun SE. Endometriosis. N Engl J Med 2009; 360: 268-279. [DOI:10.1056/NEJMra0804690]
4. Hashimoto K, Tabata C, Ueno Y, Fukuda H, Shimoya K, Murata Y. Spontaneous rupture of uterine surface varicose veins in pregnancy: a case report. J Reprod Med 2006; 51: 722-724.
5. Fernando S, Breheny S, Jaques AM, Halliday JL, Baker G, Healy D. Preterm birth, ovarian endometriomata, and assisted reproduction technologies. Fertil Steril 2009; 91: 325-330. [DOI:10.1016/j.fertnstert.2008.01.096]
6. Chiodo I, Somigliana E, Dousset B, Chapron C. Urohemoperitoneum during pregnancy with consequent fetal death in a patient with deep endometriosis. J Minim Invasive Gynecol 2008; 15: 202-204. [DOI:10.1016/j.jmig.2007.09.004]
7. Roche M, Ibarrola M, Lamberto N, Larranaga C, Garcia MA. Spontaneous hemoperitoneum in a twin pregnancy complicated by endometriosis. J Matern Fetal Neonatal Med 2008; 21: 924-926. [DOI:10.1080/14767050802353572]
8. Wada S, Yoshiyuki F, Fujino T, Sato C. Uterine vein rupture at delivery as a delayed consequence of laparoscopic surgery for endometriosis: a case report. J Minim Invasive Gynecol 2009; 16: 510-512. [DOI:10.1016/j.jmig.2009.05.001]
9. Zhang Y, Zhao Y, Wei Y, Li R, Qiao J. Spontaneous rupture of subserous uterine veins during late pregnancy after in vitro fertilization. Fertil Steril 2009; 92: 395 e313-396.
10. Passos F, Calhaz-Jorge C, Graca LM. Endometriosis is a possible risk factor for spontaneous hemoperitoneum in the third trimester of pregnancy. Fertil Steril 2008; 89: 251-252. [DOI:10.1016/j.fertnstert.2007.02.009]

Add your comments about this article : Your username or Email:

© 2019 All Rights Reserved | International Journal of Reproductive BioMedicine

Designed & Developed by : Yektaweb