Hemoperitoneum Following Sexual Intercourse in a Woman with Deep Infiltrating Endometriosis

Laura Buggio, Giorgio Aimi, Paolo Vercellini

Research output: Contribution to journalArticlepeer-review

Abstract

Endometriosis is an estrogen-dependent chronic inflammatory disease, defined by the presence of endometrial glands and stroma at ectopic sites. A rare and life-threatening complication associated with endometriosis is represented by spontaneous hemoperitoneum due to the rupture of utero-ovarian vessels. Most cases of spontaneous hemoperitoneum previously described involved pregnant women affected by endometriosis; here, we present a case of acute and massive hemoperitoneum in a nulliparous woman with deep infiltrating endometriosis. When acute abdominal pain with hemoperitoneum occurs in non-gravid reproductive age women, with no positive findings for liver or spleen lesions, a possible spontaneous rupture of utero-ovarian vessels related to the presence of deep infiltrating endometriosis should be included among the possible causes of the condition.

Original languageEnglish
Pages (from-to)559-562
Number of pages4
JournalGynecologic and Obstetric Investigation
Volume81
Issue number6
DOIs
Publication statusPublished - 2016

Keywords

  • Deep infiltrating endometriosis
  • Endometriosis
  • Hemoperitoneum
  • Laparoscopy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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