{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:32:05Z","timestamp":1782603125260,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T00:00:00Z","timestamp":1668124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Endometriosis can be associated with adverse pregnancy outcomes. We report six cases of endometriosis\u2010related spontaneous hemoperitoneum diagnosed in pregnant and postpartum women over 13\u2009years. Spontaneous hemoperitoneum in pregnancy mainly occurred in the second half of gestation. All women presented with acute abdominal pain; four of them needed an emergent surgery, two were managed expectantly. The median estimated blood loss was 4250\u2009ml, four women required massive transfusion. Three out of six women had a known history of endometriosis, all of them had histologically confirmed endometriosis after surgery. No maternal or perinatal deaths occurred. In one case, reticence to perform a computed tomography scan led to delayed diagnosis. Since delay can lead to lethal consequences, high levels of suspicion for spontaneous hemoperitoneum should be maintained in cases of severe abdominal pain, even with a woman's negative history of endometriosis. Improved knowledge and regular interdisciplinary meetings are pivotal to ameliorate outcomes.<\/jats:p>","DOI":"10.1111\/jog.15498","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T08:48:56Z","timestamp":1668156536000},"page":"744-752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Endometriosis\u2010related spontaneous hemoperitoneum in pregnancy: A case series"],"prefix":"10.1111","volume":"49","author":[{"given":"Luca","family":"Bazzurini","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecology San Gerardo Hospital  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-7217","authenticated-orcid":false,"given":"Sara","family":"Ornaghi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Obstetrics, Foundation MBBM Onlus at San Gerardo Hospital University of Milan\u2010Bicocca, Department of Medicine and Surgery  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2279-3641","authenticated-orcid":false,"given":"Elisabetta","family":"Colciago","sequence":"additional","affiliation":[{"name":"University of Milan\u2010Bicocca, Department of Medicine and Surgery  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Penati","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Carate Brianza Hospital  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filiberto","family":"di Gennaro","sequence":"additional","affiliation":[{"name":"Department of Radiology San Gerardo Hospital  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Passoni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecology San Gerardo Hospital  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Buda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecology San Gerardo Hospital  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Locatelli","sequence":"additional","affiliation":[{"name":"University of Milan\u2010Bicocca, Department of Medicine and Surgery  Monza e Brianza Italy"},{"name":"Department of Obstetrics and Gynecology Carate Brianza Hospital  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Landoni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecology San Gerardo Hospital  Monza e Brianza Italy"},{"name":"University of Milan\u2010Bicocca, Department of Medicine and Surgery  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrizia","family":"Vergani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Obstetrics, Foundation MBBM Onlus at San Gerardo Hospital University of Milan\u2010Bicocca, Department of Medicine and Surgery  Monza e Brianza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1810764"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2017.10.035"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10040667"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.03.091"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.10.012"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.04.030"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14371"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.05.025"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.14819"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14431"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2021.01.032"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.15761\/OGR.1000150"},{"issue":"4","key":"e_1_2_7_14_1","first-page":"363","article-title":"The way to move beyond the numbers: the lesson learnt from the Italian obstetric surveillance system","volume":"55","author":"Donati S","year":"2019","journal-title":"Ann Ist Super Sanita"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14133"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2015.09.007"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002355"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmy004"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.15498","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T18:20:02Z","timestamp":1692382802000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.15498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,11]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/jog.15498"],"URL":"https:\/\/doi.org\/10.1111\/jog.15498","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,11]]},"assertion":[{"value":"2022-05-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}