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

Fertility and sterility, 78(4), 879-881, 2002

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.

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