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Ovarian Cycle

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The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...

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Updated: Jan 4, 2026

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

[Spontaneous Hemoperitoneum in Pregnancy].

Daniela Gonçalves¹, Marcília Teixeira², Rosa Rodrigues³

¹Serviço de Obstetrícia e Ginecologia. Centro Materno-Infantil do Norte. Centro Hospitalar do Porto. Porto. Portugal.

Acta Medica Portuguesa

|November 9, 2019

Summary

Endometriosis during pregnancy can lead to rare but severe spontaneous hemoperitoneum. Prompt diagnosis and intervention are crucial for improving maternal and fetal outcomes in these high-risk pregnancies.

Keywords:

Endometriosis Hemoperitoneum Pregnancy Pregnancy Complications

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Area of Science:

Gynecology
Obstetrics
Reproductive Medicine

Background:

Endometriosis is a common benign estrogen-dependent disorder.
Pregnancy is often thought to positively impact endometriosis.
Emerging evidence links endometriosis to infertility and adverse pregnancy outcomes.

Observation:

A case of a pregnant woman at 34 weeks gestation presenting with severe abdominal pain.
History of suspected endometriosis based on clinical symptoms and ultrasound.
During cesarean section for fetal bradycardia, significant hemoperitoneum and uterine wall hemorrhages were noted.

Findings:

Spontaneous hemoperitoneum in pregnancy, though rare, is associated with endometriosis.
The condition can present suddenly and severely, posing risks to both mother and fetus.
Surgical findings included a large volume of blood in the abdomen and hemorrhagic foci on the uterus.

Implications:

Highlights the potential for severe obstetric complications in pregnant women with endometriosis.
Emphasizes the need for heightened clinical suspicion for spontaneous hemoperitoneum in this population.
Underscores the importance of timely diagnosis and surgical intervention to optimize maternal and fetal health outcomes.