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We wish to raise awareness of this uncommon but potentially life-threatening condition requiring early recognition and prompt recourse to surgical intervention to minimise the morbidity and mortality.<\/jats:p>","DOI":"10.1136\/bcr-2014-205317","type":"journal-article","created":{"date-parts":[[2014,7,18]],"date-time":"2014-07-18T01:49:57Z","timestamp":1405648197000},"page":"bcr2014205317","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Decidualised fallopian tube endometriotic implant causing spontaneous haemoperitoneum in a twin pregnancy"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ieera","family":"Aggarwal","sequence":"first","affiliation":[{"name":"Department of Gynaecological Oncology, KK Women's and Children Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9201-3674","authenticated-orcid":false,"given":"Pamela","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, KK Women's and Children Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, KK Women's and Children Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,7,17]]},"reference":[{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.1","first-page":"474","article-title":"Spontaneous utero-ovarian vessel rupture during pregnancy: three case reports and a review of the literature","volume":"69","author":"Ginsburg","year":"1987","journal-title":"Obstet Gynecol"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.03.091"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.3","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dep186"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.4","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1333484"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2012.02.024"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000200596.98039.c5"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.7","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/0140-6736(92)90506-X","article-title":"Endometriosis and spontaneous rupture of utero-ovarian vessels during pregnancy","volume":"340","author":"Inoue","year":"1992","journal-title":"Lancet"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(97)00229-4"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.04.018"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.10","doi-asserted-by":"publisher","DOI":"10.3109\/00016349609054718"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(02)03348-4"},{"key":"2025082704072343000_2014.jul17_1.bcr2014205317.12","first-page":"716","article-title":"Massive hemoperitoneum from endometriosis of the fallopian tube. 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