Endometriosis-related spontaneous hemoperitoneum in pregnancy: A case series.
SHiP
abdominal pain
bleeding
endometriosis
hemoperitoneum
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
revised:
03
10
2022
received:
26
05
2022
accepted:
30
10
2022
pubmed:
12
11
2022
medline:
11
2
2023
entrez:
11
11
2022
Statut:
ppublish
Résumé
Endometriosis can be associated with adverse pregnancy outcomes. We report six cases of endometriosis-related spontaneous hemoperitoneum diagnosed in pregnant and postpartum women over 13 years. 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 ml, 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.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
744-752Informations de copyright
© 2022 Japan Society of Obstetrics and Gynecology.
Références
Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med. 2020;382(13):1244-56.
Leone Roberti Maggiore U, Inversetti A, Schimberni M, Viganò P, Giorgione V, Candiani M. Obstetrical complications of endometriosis, particularly deep endometriosis. Fertil Steril. 2017;108(6):895-912.
Breintoft K, Pinnerup R, Henriksen TB, Rytter D, Uldbjerg N, Forman A, et al. Endometriosis and risk of adverse pregnancy outcome: a systematic review and meta-analysis. J Clin Med. 2021;10(4):667.
Brosens IA, Fusi L, Brosens JJ. Endometriosis is a risk factor for spontaneous hemoperitoneum during pregnancy. Fertil Steril. 2009;92(4):1243-5.
Lier MCI, Malik RF, Ket JCF, Lambalk CB, Brosens IA, Mijatovic V. Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis: a systematic review of the recent literature. Eur J Obstet Gynecol Reprod Biol. 2017;219:57-65.
Katorza E, Soriano D, Stockheim D, Mashiach R, Zolti M, Seidman DS, et al. Severe intraabdominal bleeding caused by endometriotic lesions during the third trimester of pregnancy. Am J Obstet Gynecol. 2007;197(5):501.e1-4.
Lier M, Malik R, van Waesberghe J, Maas J, van Rumpt-Geest D, Coppus S, et al. Spontaneous haemoperitoneum in pregnancy and endometriosis: a case series. BJOG: Int J Obstet Gynecol. 2017;124(2):306-12.
Brosens IA, Lier MC, Mijatovic V, Habiba M, Benagiano G. Severe spontaneous hemoperitoneum in pregnancy may be linked to in vitro fertilization in patients with endometriosis: a systematic review. Fertil Steril. 2016;106(3):692-703.
Hagimoto M, Tanaka H, Osuga Y, Miura K, Saito S, Sato S, et al. Nationwide survey (Japan) on spontaneous hemoperitoneum in pregnancy. J Obstet Gynaecol Res. 2021;47(8):2646-52.
Mazzocco MI, Donati S, Maraschini A, Corsi E, Colciago E, Guelfi F, et al. Spontaneous hemoperitoneum in pregnancy: Italian prospective population-based cohort study. Acta Obstet Gynecol Scand. 2022;101:1220-6.
Huang LY, Hsu PY, Chiang CT, Chen HW, Wu MH. Endometriosis-related spontaneous hemoperitoneum in the early second trimester: a case report. Taiwan J Obstet Gynecol. 2021;60(2):328-30.
Sim Y, Kim J, Jeong Y, Rheu C, Chae H. Spontaneous hemoperitoneum in pregnancy (SHiP) complicated by endometriosis: A case report. Obstet Gnecol Rep. 2020;4(2):1-2.
Donati S, Maraschini A, Dell'Oro S, Lega I, D'Aloja P, Regional Maternal Mortality Working Group. The way to move beyond the numbers: the lesson learnt from the Italian obstetric surveillance system. Ann Ist Super Sanita. 2019;55(4):363-70.
Ornaghi S, Crippa I, di Nicola S, Giardini V, la Milia L, Locatelli L, et al. Splenic artery aneurysm in obstetrical patients: a series of four cases with different clinical presentation and outcome. Int J Gynecol Obstet. 2022;159:474-9.
Qin J, Liu X, Sheng X, Wang H, Gao S. Assisted reproductive technology and the risk of pregnancy-related complications and adverse pregnancy outcomes in singleton pregnancies: a meta-analysis of cohort studies. Fertil Steril. 2016;105(1):73-85.e6.
Committee Opinion No. 723. Guidelines for diagnostic imaging during pregnancy and lactation. Obstet Gynecol. 2017;130(4):e210-6.
Leeners B, Damaso F, Ochsenbein-Kölble N, Farquhar C. The effect of pregnancy on endometriosis: facts or fiction? Hum Reprod Update. 2018;24(3):290-9.