{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T06:10:01Z","timestamp":1739513401665,"version":"3.37.0"},"reference-count":18,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2021,6,24]]},"abstract":"<jats:p>Objective: We report 2 cases of haemoperitoneum due to a bleeding of the uterine artery caused by infiltrating endometriosis. We have also conducted a literature review on endometriosis-related intra-abdominal haemorrhage and wrote a practical guideline on how this entity can be recognized and handled.\n\nPatients: Case 1: A 49-year-old multiparous woman presented with intense stabbing pain in the lower abdomen during her menstruation. CT angiography showed a bleeding from a side branch of the internal iliac artery. Laparoscopy was performed and an active bleeding from the right uterine artery was confirmed, clearly caused by infiltrating endometriosis lesions. Haemostasis was achieved by bipolar coagulation. Case 2: A 29-year-old nulliparous woman was admitted for observation because of heavy stabbing pain in the right lower quadrant and presence of free fluid on CT abdomen. The day after the admission, laparoscopy was performed because of a decreasing haemoglobin level. An arterial bleeding from the right parametrium was observed, probably originating from the right uterine artery. Histopathological examination of a biopsy of the right parametrium proved the presence of endometriosis. Haemostasis was achieved by bipolar coagulation.\n\nConclusion: Although endometriosis-related haemoperitoneum is a rare entity, this diagnosis should be considered when a patient presents with an intra-abdominal haemorrhage during menstruation or withdrawal bleeding - especially in case of a history or suspicion of endometriosis. Laparoscopy is the cornerstone of the treatment.<\/jats:p>","DOI":"10.52054\/fvvo.13.3.023","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T03:23:28Z","timestamp":1632453808000},"page":"261-266","source":"Crossref","is-referenced-by-count":0,"title":["Acute haemoperitoneum caused by endometriosis infiltrating the uterine artery - Two case reports and a literature review"],"prefix":"10.52054","volume":"13","author":[{"given":"A.-S.","family":"Vandenameele","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Platteeuw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Alaerts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Aznaurova YB, Zhumataev MB, Roberts TK et al. Molecular aspects  of  development  and  regulation  of  endometriosis.  Reprod Biol Endocrinol. 2014; 12:50","DOI":"10.1186\/1477-7827-12-50"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Carmichael JL, Williams DB. Hemoperitoneum from erosion of ectopic endometrial tissue. South Med J. 1972; 65:371-371","DOI":"10.1097\/00007611-197203000-00029"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Dwivedi AJ, Agrawal SN, Silva YJ et al. Laparoscopic Vessel Endometriosis Resection Surgery: A case report and review of  literature.  Digestive  diseases  and  Sciences.  2002;  47  (2):456-461","DOI":"10.1023\/A:1013711314870"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"El  Khalil  T,  Mourad  F,  Barada  K,  Uthman  S.  Massive  hemorraghic ascites secondary to endometriosis. Journal of clinical gastro-enterology. 1999; 29(4): 344-345","DOI":"10.1097\/00004836-199912000-00010"},{"key":"ref4","unstructured":"European  Society  of  Human  Reproduction  and  Embryology  (ESHRE).  Guideline  on  management  of  women  with  endometriosis. 2013"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Fiadjoe P, Thomas-Phillips A, Reddy K. Massive haemoperitoneum due to uterine artery erosion by endometriosis and a review of the literature. Gynaecol Surg. 2008; 5:133-135","DOI":"10.1007\/s10397-007-0331-4"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Gordts  S,  Koninckx  P,  Brosens  I.  Pathogenesis  of  deep  endometriosis. Fertility and Sterility. 2017; 108(6):872-885","DOI":"10.1016\/j.fertnstert.2017.08.036"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Janicki TI, David LJ, Skaf R. Massive and acute hemoperitoneum due  to  rupture  of  the  uterine  artery  by  erosion  from  an  endometriotic  lesion.  Fertility  and  Sterility.  2002;  78  (4):  879-881","DOI":"10.1016\/s0015-0282(02)03348-4"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Kumar S. Acute massive haemoperitoneum due to mild pelvic endometriosis.  Austr  NZ  J  Obstet  Gynaecol.  1996;  36(4):  490-491","DOI":"10.1111\/j.1479-828x.1996.tb02203.x"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Lier  MCI,  Malik  RF,  Ket  JCF,  Lambalk  CB,  Brosens  IA,  Mijatovic  V.  Spontaneous  hemoperitoneum  in  pregnancy  (SHiP) and endometriosis \u2013 A systematic review of the recent literature. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017; 219: 57-65","DOI":"10.1016\/j.ejogrb.2017.10.012"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Mabrouk  M,  Arena  A,  Moro  E,  et  al.  Deep  infiltrating  endometriosis  and  spontaneous  hemoperitoneum:  a  life-threatening situation treated by laparoscopy - video article. 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