The Journal of Minimally Invasive Gynecology
Volume 15, Issue 2 , Pages 202-204, March 2008

Urohemoperitoneum During Pregnancy with Consequent Fetal Death in a Patient with Deep Endometriosis

  • Ilda Chiodo, MD

      Affiliations

    • 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
    • Department of Obstetrics and Gynecology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy
    • ,
  • Edgardo Somigliana, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy
    • ,
  • Bertrand Dousset, MD

      Affiliations

    • Service de Chirurgie Digestive, Paris, France
    • ,
  • Charles Chapron, MD

      Affiliations

    • 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
    • Institut Cochin, IFR, Paris, France.
    • Corresponding Author InformationCorresponding author: Charles Chapron, MD, Service de Gynécologie Obstérique II et Médecine de la Reproduction, Unité de chirurgie gynécologique, CHU Cochin, Saint Vincent de Paul, Pavillon Lelong 82, avenue Denfert Rochereau, 75014 Paris, France.

Received 11 June 2007; accepted 7 September 2007.

Abstract 

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.

Keywords: Deep endometriosis, Pregnancy

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 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

 Available at www.sciencedirect.com and www.jmig.org

PII: S1553-4650(07)01047-3

doi:10.1016/j.jmig.2007.09.004

The Journal of Minimally Invasive Gynecology
Volume 15, Issue 2 , Pages 202-204, March 2008

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