Massive hemoperitoneum from endometriosis of the fallopian tube. A case report.
BACKGROUND
Endometriosis is a common gynecologic disease that usually presents with pelvic pain and infertility in the reproductive years. It can be complicated by bleeding, such as hematuria or hemoptysis; however, acute massive hemoperitoneum caused by tubal endometriosis without any concomitant disorder has not been reported previously.


METHODS
An unusual case of massive hemoperitoneum led to preshock as a result of bleeding from a tubal endometriosis implant in a previously healthy 29-year-old woman without previous history suggesting endometriosis.


CONCLUSIONS
Although the most common gynecologic cause of hemoperitoneum in a reproductive-age woman is ruptured ectopic pregnancy, endometriosis should also be considered, especially after exclusion of pregnancy.
Harmanli
O H
OH
Department of Obstetrics, Gynecology, Temple University, School of Medicine, Philadelphia, PA 19140, USA.
Chatwani
A
A
Caya
J G
JG
D000328:Adult; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis; D005184:Fallopian Tube Diseases / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans