{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:07:42Z","timestamp":1790690862439,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Spontaneous hemoperitoneum in pregnancy (SHIP) is defined as sudden, nontraumatic intraperitoneal bleeding that occurs during pregnancy or up to 42\u2009days postpartum. The incidence ranges between 4 and 4.9 per 100\u2009000 births. Although seen rarely, it is associated with perinatal morbidity and mortality due to maternal hemodynamic instability. Endometriosis was shown to be present in 71% of SHIP cases. A 30\u2010year\u2010old primigravid woman with a spontaneous conception, at 29\u2009weeks of gestation, presented to our obstetrics and gynecology emergency department with complaints of abdominal and back pain. In terms of her medical history, a laparoscopic cystectomy was performed in August 2022 due to a 90\u2009mm\u2009\u00d7\u200950\u2009mm endometrioma in the right ovary. However, deep endometriosis and adenomyosis were not observed. After decelerations appeared on the non\u2010stress test, the repeat hemoglobin values dropped to 7.2\u2009g\/dL, with blood pressure at 70\/50\u2009mm Hg and a pulse rate of 95\/min. The decision was made for laparotomy and emergency delivery of the baby. It is crucial to consider SHIP, especially in pregnant patients with a history of endometriosis surgery. Managing such high\u2010risk cases in specialized centers and easily identifying predisposing factors for SHIP can lead to improved outcomes, despite its rarity and poor prognosis.<\/jats:p>","DOI":"10.1002\/ijgo.16006","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T14:09:55Z","timestamp":1731334195000},"page":"31-37","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous hemoperitoneum in a 29\u2010week pregnancy with a history of endometriosis: A case report and review of the literature"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0856-2652","authenticated-orcid":false,"given":"Shamsi","family":"Mehdiyev","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Bezmialem Vakif University School of Medicine  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0843-9160","authenticated-orcid":false,"given":"Fatma Basak","family":"Tanoglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bezmialem Vakif University School of Medicine  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7286-3241","authenticated-orcid":false,"given":"Esma Demir","family":"Altuncu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bezmialem Vakif University School of Medicine  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4123-6357","authenticated-orcid":false,"given":"Engin","family":"Oral","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Biruni University School of Medicine  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12887"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1793326"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.01.018"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.10.012"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17556"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.939330"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.05.025"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.10.012"},{"key":"e_1_2_8_10_1","first-page":"150","article-title":"Spontaneous rupture of uterine vessel in the 9th week of pregnancy: case report","volume":"38","author":"Izumi S","year":"1989","journal-title":"Tokyo J Obstet Gynecol"},{"key":"e_1_2_8_11_1","first-page":"14","article-title":"A case of spontaneous uterine vessel rupture during pregnancy","volume":"28","author":"Kawabata I","year":"1991","journal-title":"Tokai J Obstet Gynecol"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)90506-X"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349609054718"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1998.tb02990.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(99)00103-4"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000121833.79081.c7"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.04.030"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1028-4559(08)60114-X"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.02.009"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.09.004"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802353572"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2009.05.001"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.03.096"},{"issue":"2","key":"e_1_2_8_24_1","first-page":"90","article-title":"Hemoperitoneum during pregnancy with endometriosis; report of four cases","volume":"8","author":"Kim TH","year":"2010","journal-title":"Iran J Reprod Med"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.04.012"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.10.006"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.01.023"},{"key":"e_1_2_8_28_1","first-page":"81","article-title":"Une cause inattendue d'h\u00e9mop\u00e9ritoine en cours de grossesse [an unexpected aetiology of massive haemoperitoneum during pregnancy]. 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