Urohemoperitoneum during pregnancy with consequent fetal death in a patient with deep endometriosis

被引:28
作者
Chiodo, Ilda [1 ,3 ]
Somigliana, Edgardo [3 ]
Dousset, Bertrand [2 ]
Chapron, Charles [1 ,4 ]
机构
[1] Univ Paris 05, Fac Med,AP HP,Grp Hosp Univ Ouest, CHU Cochin St Vincent Paul, Serv Gynecol Obstetr II & Med Reprod, Paris, France
[2] Serv Chirurg Digest, Paris, France
[3] Fdn IRCCS Osped Maggiore Policlin, Dept Obstet & Gynecol, Milan, Italy
[4] IFR, Inst Cochin, Paris, France
关键词
deep endometriosis; pregnancy;
D O I
10.1016/j.jmig.2007.09.004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:202 / 204
页数:3
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