Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion.
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.
Janicki
Thomas I
TI
University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA. tij@att.net
David
Laura J
LJ
Skaf
Rana
R
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