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KMID : 1201620090020030121
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Journal of Women s Medicine
2009 Volume.2 No. 3 p.121 ~ p.124
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Fatal spontaneous utero-ovarian vessel rupture during pregnancy in a patient with endometriosis
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Lee Hye-Jun
Park Kyo-Hoon
Jeon Yong-Tark
Hong Joon-Seok
Im Eun-Seon
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Abstract
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To report the fatal outcome of hemoperitoneum caused by spontaneous utero-ovarian vein rupture during pregnancy in a patient with endometriosis (ES). A 33-year-old patient with a prior history of endometriosis developed spontaneous left utero-ovarian vein rupture accompanied by fetal death in utero at 32 weeks gestation. Despite surviving hypovolemic shock, systemic inflammatory response syndrome due to hypoxia-reperfusion injury in multiple organs eventually led to maternal death. Obstetricians must be aware of the possibility of spontaneous utero-ovarian vein rupture, especially if a pregnant woman with endometriosis presents with symptoms of hemoperitoneum.
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KEYWORD
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Utero-ovarian vein rupture, Endometriosis, Hemoperitoneum, Pregnancy
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