Endometriosis · Surgical Treatment

Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion

Janicki TI, David LJ, Skaf R

Published October 10, 2002 Fertility and Sterility, 78(4), 879-881
DOI 10.1016/s0015-0282(02)03348-4 PMID 12372473

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.

Patients

A 39-year-old nulliparous woman with stage 3 endometriosis.

Interventions

Operative laparoscopy followed by laparotomy, oophorectomy, and ligation of the bleeding uterine artery.

Results

Patient is fully recovered and is attempting to conceive.

Conclusions

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

Endometriosis › Surgical Treatment › Excision Surgery
Laura J David, Thomas I Janicki, Rana Skaf
L David, Tom Janicki, T Janicki, R Skaf
PMID 12372473 12372473 DOI 10.1016/s0015-0282(02)03348-4 10.1016/s0015-0282(02)03348-4 Janicki et al. 2002, Janicki 2002

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