Hemoperitoneum Following Sexual Intercourse in a Woman with Deep Infiltrating Endometriosis.
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.
Department of Clinical Science and Community Health, Istituto Ostetrico e Ginecologico 'Luigi Mangiagalli', Università degli Studi, Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.
Laura
L
Buggio
Giorgio
G
Aimi
Paolo
P
Vercellini
D003075:Coitus; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply*; D012422:Rupture, Spontaneous; D055988:Uterine Artery / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000098:blood supply*