Janicki Thomas I, David Laura J, Skaf Rana
University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA.
Fertil Steril. 2002 Oct;78(4):879-81. doi: 10.1016/s0015-0282(02)03348-4.
To report a case of acute hemoperitoneum due to erosion of the uterine artery by an endometriotic lesion of the left ovary.
Case report and review of literature.
University medical center.
PATIENT(S): A 39-year-old nulliparous woman with stage 3 endometriosis.
INTERVENTION(S): Operative laparoscopy followed by laparotomy, oophorectomy, and ligation of the bleeding uterine artery.
RESULT(S): Patient is fully recovered and is attempting to conceive.
CONCLUSION(S): An endometriotic lesion eroded the wall of the uterine artery, causing massive, acute hemoperitoneum. Such an event may be overlooked during laparotomy and attributed to the trauma of surgery.
报告一例因左卵巢子宫内膜异位症病灶侵蚀子宫动脉导致急性腹腔积血的病例。
病例报告及文献复习。
大学医学中心。
一名39岁未生育的患有3期子宫内膜异位症的女性。
先行腹腔镜手术，随后剖腹手术、卵巢切除术及出血子宫动脉结扎术。
患者已完全康复并尝试受孕。
子宫内膜异位症病灶侵蚀子宫动脉壁，导致大量急性腹腔积血。此类事件在剖腹手术期间可能被忽视，并归因于手术创伤。
