MASSIVE HEMOPERITONEUM FROM ENDOMETRIOSIS OF THE FALLOPIAN-TUBE - A CASE-REPORT

BACKGROUND: Endometriosis is it common gynecologic disease that usuall y presents with pelvic pain and infertility in the reproductive years. It can be complicated by bleeding, such as hematuria or hemoptysis; h owever; acute massive hemoperitoneum caused by tubal endometriosis wit hout any concomitant disorder has not been reported previously. CASE: An unusual case of massive hemoperitoneum led to preshock as a result of bleeding from a tubal endometriosis implant in a previously healthy 29-year-old woman without previous history suggesting endometriosis. CONCLUSION: Although the mast common gynecologic cause of hemoperitone um in a reproductive-age woman is ruptured ectopic pregnancy, endometr iosis should also be considered, especially after exclusion of pregnan cy.