{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:41:51Z","timestamp":1787168511652,"version":"build-2736575974"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>A endometriose \u00e9 uma doen\u00e7a benigna, cr\u00f3nica e estrog\u00e9nio-dependente. Pensa-se que a gravidez tenha um efeito positivo na endometriose\u00a0atrav\u00e9s da inibi\u00e7\u00e3o da ovula\u00e7\u00e3o, contudo tem surgido evid\u00eancia da associa\u00e7\u00e3o da endometriose n\u00e3o s\u00f3 com infertilidade, mas\u00a0tamb\u00e9m com complica\u00e7\u00f5es obst\u00e9tricas. Descreve-se o caso de uma gr\u00e1vida de 34 semanas, com antecedentes cl\u00ednicos e ecogr\u00e1ficos\u00a0sugestivos de endometriose, admitida por dor abdominal s\u00fabita e intensa. Durante a cesariana emergente, realizada por bradicardia\u00a0fetal sustentada, constatou-se a presen\u00e7a de um volumoso hemoperitoneu e focos hemorr\u00e1gicos na parede uterina posterior. Apesar\u00a0de raro, o hemoperitoneu espont\u00e2neo \u00e9 uma complica\u00e7\u00e3o poss\u00edvel na gravidez, sobretudo em mulheres com antecedentes de endometriose.\u00a0Dadas as complica\u00e7\u00f5es materno-fetais associadas, uma r\u00e1pida suspei\u00e7\u00e3o diagn\u00f3stica e interven\u00e7\u00e3o s\u00e3o fundamentais.<\/jats:p>","DOI":"10.20344\/amp.11169","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T05:18:07Z","timestamp":1572844687000},"page":"730-732","source":"Crossref","is-referenced-by-count":0,"title":["Hemoperitoneu Espont\u00e2neo na Gravidez"],"prefix":"10.20344","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9925-4670","authenticated-orcid":false,"given":"Daniela","family":"Gon\u00e7alves","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc\u00edlia","family":"Teixeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Braga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2019,11,4]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/11169\/5796","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/11169\/5796","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T16:54:10Z","timestamp":1666630450000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/11169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,4]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,11,4]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.11169","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,11,4]]}}}