Rupture of endometriotic ovarian cyst causes acute hemoperitoneum in twin pregnancy

Reif, P; Schöll, Wolfgang; Klaritsch, Philipp; Lang, Uwe

doi:10.1016/j.fertnstert.2011.01.023

Cited by 31 publications

(21 citation statements)

References 10 publications

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“…Possible clinical presentations include lower abdominal pain without signs of infection due to the presence of ''chocolate'' fluid within the peritoneal cavity (39,40,43). In more rare cases, when rupture involves an ovarian vessel, a spontaneous hemoperitoneum can develop (26), determining the clinical picture previously described in the SHiP section.…”

Section: Clinical Presentationmentioning

confidence: 86%

“…Sonography is readily available and cheap, and it can be performed at the bedside without major time loss or need for patient transfer. The sonographic preoperative diagnosis of SHiP may be difficult when hemoperitoneum is mostly made of blood clots, which at ultrasound are difficult to distinguish from the bowel, when gestational age is advanced, because visualization is impaired by the pregnant uterus, and in the presence of maternal obesity (26). Despite these limitations, a very high sensitivity of 92.7% has been reported for a transabdominal ultrasound evaluation specifically focused for the detection of intraperitoneal fluid, especially when performing serial examinations (27).…”

Section: Peritoneal Endometriosis: Spontaneous Hemoperitoneummentioning

confidence: 99%

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Beyond infertility: obstetrical and postpartum complications associated with endometriosis and adenomyosis

Viganò

Corti

Berlanda

2015

Fertility and Sterility

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The risk of pregnancy and neonatal complications in women with endometriosis and adenomyosis is debatable. A literature review looking at rates, presentation, and management of spontaneous hemoperitoneum, enlargement, abscess, and rupture of an endometrioma, uterine rupture, and bowel perforation in pregnant women with endometriosis was conducted. Moreover, studies addressing differences in early pregnancy (miscarriage), late pregnancy (gestational diabetes mellitus, preeclampsia, prematurity, placenta previa, placental abruption, cesarean section, hemorrhages) and neonatal outcomes (weight at birth) between endometriosis and adenomyosis patients versus control subjects were reviewed. The overall prevalence of endometriosis-related spontaneous hemoperitoneum in pregnancy is estimated to be ∼0.4%. Only four cases of endometrioma rupture in pregnancy have been reported. Although during pregnancy there is no way to anticipate the onset of complications from preexisting endometriosis, it is important, when a specific abdominal pain occurs, to suspect rare but potentially life-threating events. Population-based studies suggest a possible association of endometriosis with preterm birth and placenta previa. Limits of the published studies are noted and discussed.

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Section: Clinical Presentationmentioning

confidence: 86%

Section: Peritoneal Endometriosis: Spontaneous Hemoperitoneummentioning

confidence: 99%

Beyond infertility: obstetrical and postpartum complications associated with endometriosis and adenomyosis

Viganò

Corti

Berlanda

2015

Fertility and Sterility

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“…The high CA-125 levels in our case did raise a suspicion of malignancy however the radiologic features were that of a benign cyst and so was the histopathological report. 9 Several cases of ruptured endometriotic cysts with hemoperitoneum in pregnancy have been reported especially in twin gestations due to the enlarging uteri displacing the ovarian cysts 10 .…”

Section: Discussionmentioning

confidence: 99%

Spontaneously Ruptured Endometriotic Cysts-A Case Report

Pal¹,

Sahasrabhojanee²

2016

IOSR

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“…Another case has been reported by Reif et al where a left adnexal tumour was the source of spontaneous haemoperitoneum in a twin pregnancy. At laparotomy, the conglomerate mass was identified to be left tube, adhesion and ruptured left ovarian cyst 13. Spontaneous haemoperitoneum due to rupture of utero-ovarian vessels is reported to occur most commonly in the third trimester and labour, possibly due to increased intra-abdominal pressure during labour or manouvres such as vomiting, straining during defecation, etc.…”

Section: Discussionmentioning

confidence: 99%

Decidualised fallopian tube endometriotic implant causing spontaneous haemoperitoneum in a twin pregnancy

2014

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Spontaneous haemoperitoneum in pregnancy (SHiP) is a rare but serious condition associated with an adverse pregnancy outcome. We present a case of previable twin pregnancy presenting with SHiP secondary to endometriosis, necessitating an emergency laparotomy and hysterotomy as a life-saving measure to achieve haemostasis. At laparotomy there was massive haemoperitoneum with active bleeding from the left fallopian tube and a left salpingectomy was performed. Histological examination showed haemorrhagic foci of endometriosis on the fallopian tube exhibiting florid stromal decidual change. We wish to raise awareness of this uncommon but potentially life-threatening condition requiring early recognition and prompt recourse to surgical intervention to minimise the morbidity and mortality.

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Rupture of endometriotic ovarian cyst causes acute hemoperitoneum in twin pregnancy

Cited by 31 publications

References 10 publications

Beyond infertility: obstetrical and postpartum complications associated with endometriosis and adenomyosis

Beyond infertility: obstetrical and postpartum complications associated with endometriosis and adenomyosis

Spontaneously Ruptured Endometriotic Cysts-A Case Report

Decidualised fallopian tube endometriotic implant causing spontaneous haemoperitoneum in a twin pregnancy

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