Urohemoperitoneum during pregnancy with consequent fetal death in a patient with deep endometriosis.
A 25-year-old woman with unoperated deep endometriosis of the uterosacral ligament suddenly experienced severe abdominal pain, hematuria, hemoperitoneum, and intrauterine death at 31 weeks' gestation. Surgical intervention revealed active hemorrhage arising from right uterine artery and interruption of the ureter in an area of previously documented but not treated endometriotic nodule. Histologic examination confirmed presence of decidualized endometriosis at this site. Urohemoperitoneum during pregnancy is a rare but possible complication in women carrying deep peritoneal endometriotic nodules.
Chiodo
Ilda
I
Université Paris V, Faculté de Médecine, Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Universitaire Ouest, CHU Cochin-Saint Vincent de Paul, Service de Gynécologie Obstétrique II et Médecine de la Reproduction, Paris, France.
Somigliana
Edgardo
E
Dousset
Bertrand
B
Chapron
Charles
C
D000328:Adult; D001158:Arteries; D004108:Dilatation, Pathologic; D018450:Disease Progression; D004715:Endometriosis / Q000150:complications*; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D006465:Hemoperitoneum / Q000150:complications*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*; D014513:Ureter / Q000473:pathology; D014599:Uterus / Q000098:blood supply