Sharon M O'Leary1. 1. Department of Obstetrics and Gynecology, St Joseph Mercy Hospital, Ann Arbor, MI, USA. olearysh@trinity-health.org
Abstract
BACKGROUND: Spontaneous intraperitoneal hemorrhage during pregnancy or in the postpartum period is a rare but dangerous phenomenon. CASE: A 41-year-old gravida 3 para 1, 9 days postpartum, presented with lower abdominal pain and hypovolemia. Emergent laparotomy revealed massive intraperitoneal hemorrhage caused by ectopic decidualization with vascular intrusion into the left hypogastric artery in an area of previously documented endometriosis. CONCLUSION: Ectopic deciduosis is usually no more than a pathologic curiosity. In a pregnant patient with spontaneous intraperitoneal hemorrhage, however, it must be considered because it results in a high incidence of maternal and neonatal mortality.
BACKGROUND: Spontaneous intraperitoneal hemorrhage during pregnancy or in the postpartum period is a rare but dangerous phenomenon. CASE: A 41-year-old gravida 3 para 1, 9 days postpartum, presented with lower abdominal pain and hypovolemia. Emergent laparotomy revealed massive intraperitoneal hemorrhage caused by ectopic decidualization with vascular intrusion into the left hypogastric artery in an area of previously documented endometriosis. CONCLUSION: Ectopic deciduosis is usually no more than a pathologic curiosity. In a pregnant patient with spontaneous intraperitoneal hemorrhage, however, it must be considered because it results in a high incidence of maternal and neonatal mortality.
Authors: Christina Allerstorfer; Peter Oppelt; Simon H Enzelsberger; Andreas Shamiyeh; Wolfgang Schimetta; Omar Josef Shebl; Richard Bernhard Mayer Journal: Biomed Res Int Date: 2016-07-19 Impact factor: 3.411