title: Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion.
abstract: OBJECTIVE
  To report a case of acute hemoperitoneum due to erosion of the uterine artery by an endometriotic lesion of the left ovary.
  
  
  METHODS
  Case report and review of literature.
  
  
  METHODS
  University medical center.
  
  
  METHODS
  A 39-year-old nulliparous woman with stage 3 endometriosis.
  
  
  METHODS
  Operative laparoscopy followed by laparotomy, oophorectomy, and ligation of the bleeding uterine artery.
  
  
  RESULTS
  Patient is fully recovered and is attempting to conceive.
  
  
  CONCLUSIONS
  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.
authors.affiliation: University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA. tij@att.net
authors.forename: Thomas I
authors.initials: TI
authors.lastname: Janicki
authors.forename: Laura J
authors.initials: LJ
authors.lastname: David
authors.forename: Rana
authors.initials: R
authors.lastname: Skaf
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008026:Ligation; D010052:Ovariectomy; D012422:Rupture, Spontaneous; D014599:Uterus / Q000098:blood supply*; D014652:Vascular Diseases / Q000209:etiology* / Q000601:surgery