Chapter 64: Visual Appearance of Endometriosis
Endometriosis > Diagnosis > LaparoscopySurgery > Laparoscopy > TechniqueEndometriosis > Staging > Severity Assessment
Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion
Fertility and Sterility, 78(4), 879-881
Abstract
Objective
To report a case of acute hemoperitoneum due to erosion of the uterine artery by an endometriotic lesion of the left ovary.
Design
Case report and review of literature.
Setting
University medical center.
PATIENT(S): A 39-year-old nulliparous woman with stage 3 endometriosis.
INTERVENTION(S): Operative laparoscopy followed by laparotomy, oophorectomy, and ligation of the bleeding uterine artery.
RESULT(S): Patient is fully recovered and is attempting to conceive.
CONCLUSION(S): An endometriotic lesion eroded the wall of the uterine artery, causing massive, acute hemoperitoneum. Such an event may be overlooked during laparotomy and attributed to the trauma of surgery.
Topics
Cite this article
Janicki, T. I., David, L. J., & Skaf, R. (2002). Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion. *Fertility and sterility*, *78*(4), 879-881. https://doi.org/10.1016/s0015-0282(02)03348-4
Janicki TI, David LJ, Skaf R. Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion. Fertil Steril. 2002;78(4):879-881. doi:10.1016/s0015-0282(02)03348-4
Janicki, Thomas I., et al. "Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion." *Fertility and sterility*, vol. 78, no. 4, 2002, pp. 879-881.
Keywords
Adult, Arteries/surgery, Endometriosis/complications/surgery, Female, Hemoperitoneum/etiology/surgery, Humans, Laparoscopy, Ligation, Ovariectomy, Rupture, Spontaneous, Uterus/blood Supply, Vascular Diseases/etiology/surgery,