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Case Reports
. 2024 Mar 5;17(3):e257344.
doi: 10.1136/bcr-2023-257344.

Endometriosis-associated spontaneous major haemoperitoneum in pregnancy

Benedetto Mondelli  1 , George Balais  2 , Matthew Erritty  2 , Vasileios Minas  2
Affiliations
Case Reports

Endometriosis-associated spontaneous major haemoperitoneum in pregnancy

Benedetto Mondelli et al. BMJ Case Rep. .

Abstract

Spontaneous haemoperitoneum in pregnancy (SHiP) related to endometriosis is a rare and life-threatening complication. We report a case of a patient presenting to our department with major haemoperitoneum at 23+3 weeks of gestation due to a large rectovaginal endometriotic nodule. The patient required a midline laparotomy to evacuate 1 L of haemoperitoneum and achieve haemostasis. A large rectovaginal nodule was seen bleeding and was packed with haemostatic material and a large swab. After 24 hours, the swab was removed and haemostasis was confirmed. The patient was monitored very closely by a multidisciplinary team and the pregnancy was allowed to continue to try and achieve a better outcome for the baby and at 28 weeks of gestation, a girl was delivered in good condition via caesarean section.

Keywords: Pregnancy; Reproductive medicine.

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Conflict of interest statement

Competing interests: None declared.

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