Oh Jeong-Won, Lee Eun Ji, Jin Yoon-Mi
J Korean Soc Radiol. 2022 Sep;83(5):1121-1127. doi: 10.3348/jksr.2022.0026. Epub 2022 Sep 26.
Endometriosis-related symptoms are believed to be alleviated during pregnancy. However, pregnancy complications, such as pseudoaneurysm of the uterine artery, rupture of ovarian or uterine vessels, and intraabdominal bleeding from decidualized deep infiltrating endometriosis (DIE) lesion have been rarely reported. Owing to the potential risk of rupture and resultant life-threatening complications, proper diagnosis and close monitoring of decidualized endometriotic lesion are very important despite its low relative risk. Till date, massive vaginal bleeding from decidualized rectovaginal DIE during pregnancy has not been in English literatures. Here, we present the first case of spontaneous massive vaginal bleeding due to decidualized rectovaginal DIE that occurred in the late third trimester of pregnancy.
子宫内膜异位症相关症状在孕期被认为会有所缓解。然而，诸如子宫动脉假性动脉瘤、卵巢或子宫血管破裂以及蜕膜化深部浸润型子宫内膜异位症（DIE）病灶导致的腹腔内出血等妊娠并发症却鲜有报道。鉴于破裂风险及由此引发的危及生命的并发症，尽管蜕膜化子宫内膜异位症病灶的相对风险较低，但对其进行正确诊断和密切监测仍非常重要。迄今为止，英文文献中尚未报道过孕期因蜕膜化直肠阴道型DIE导致的大量阴道出血。在此，我们报告首例因蜕膜化直肠阴道型DIE在妊娠晚期发生自发性大量阴道出血的病例。
