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.
endometriosis uterine artery erosion hemoperitoneum, acute hemoperitoneum endometriotic lesion case report, endometriosis ovarian lesion vascular complication, uterine artery rupture endometriosis laparoscopy, massive hemoperitoneum endometriosis emergency surgery, endometriosis stage 3 surgical complications, endometriotic erosion blood vessel case report, operative laparoscopy laparotomy oophorectomy endometriosis, nulliparous woman endometriosis arterial bleeding, Janicki endometriosis uterine artery erosion
PMID 12372473 12372473 DOI 10.1016/s0015-0282(02)03348-4 10.1016/s0015-0282(02)03348-4
Keywords
Adult, Arteries/surgery, Endometriosis/complications/surgery, Female, Hemoperitoneum/etiology/surgery, Humans, Laparoscopy, Ligation, Ovariectomy, Rupture, Spontaneous, Uterus/blood Supply, Vascular Diseases/etiology/surgery