RT Journal Article
SR Electronic
T1 Endometriosis-Related Hemoperitoneum in Pregnancy: A Diagnosis to Keep in Mind
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 262
OP 264
VO 15
IS 3
A1 Cozzolino, Mauro
A1 Corioni, Serena
A1 Maggio, Luana
A1 Sorbi, Flavia
A1 Guaschino, Secondo
A1 Fambrini, Massimiliano
YR 2015
UL http://www.ochsnerjournal.org/content/15/3/262.abstract
AB Background Endometriosis is an important gynecologic clinical entity, pathologically defined by the ectopic presence of endometrium and frequently associated with pelvic pain, that affects approximately 10% of females of reproductive age. A rare but severe complication of endometriosis during pregnancy is spontaneous hemoperitoneum in pregnancy (SHiP), severe intraabdominal bleeding that can be life threatening.Case Report We present the case of a patient with SHiP at 29 weeks of pregnancy. A supraumbilical midline laparotomy was performed, and pelvic exploration revealed a lacerated and bleeding right ovary. Right annessiectomy was performed, and a cesarean section was performed because hemostasis was not achievable. A healthy baby was born, and hemostasis was finally achieved.Conclusion We believe that in gravid females with a history of endometriosis, severe abdominal pain, and a reduction of hemoglobin, physicians should always suspect SHiP. Because SHiP is a life-threatening condition for both the mother and the baby, a prompt diagnosis must lead to prompt treatment.