Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication
Spontaneous rupture of the utero-ovarian vessels is an exceptionally rare but potentially life-threatening condition, especially in the case of non-pregnant women with a history of complex gynecological conditions. We report the case of a 45-year-old woman presenting with severe abdominal pain and h...
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MDPI AG
2025-01-01
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| author | Alessandro Libretti Anthony Nicosia Valentino Remorgida Livio Leo |
| author_facet | Alessandro Libretti Anthony Nicosia Valentino Remorgida Livio Leo |
| author_sort | Alessandro Libretti |
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| description | Spontaneous rupture of the utero-ovarian vessels is an exceptionally rare but potentially life-threatening condition, especially in the case of non-pregnant women with a history of complex gynecological conditions. We report the case of a 45-year-old woman presenting with severe abdominal pain and hemoperitoneum, 15 years after surgical eradication of stage IV endometriosis. Diagnostic imaging revealed significant free fluid and vascular disruption near the uterus. Emergency laparotomy confirmed blood in the peritoneal cavity and identified a rupture of the left paracervical vessels. This case underscores the critical role of timely surgical intervention and the challenges of diagnosing spontaneous vascular rupture in the context of chronic conditions such as endometriosis and fibromyalgia. A review of the literature revealed very limited cases with similar presentations, emphasizing the rarity of such vascular events, although without active endometriotic lesions. This report highlights the importance of considering spontaneous vascular rupture in differential diagnoses for acute abdominal pain with hemoperitoneum. Advanced imaging and multidisciplinary management are pivotal in ensuring favorable outcomes. |
| format | Article |
| id | doaj-art-ec2ec9e8ed62432fa611321237f0d44c |
| institution | Kabale University |
| issn | 2673-4184 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Women |
| spelling | doaj-art-ec2ec9e8ed62432fa611321237f0d44c2025-08-20T03:44:01ZengMDPI AGWomen2673-41842025-01-0151110.3390/women5010001Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis EradicationAlessandro Libretti0Anthony Nicosia1Valentino Remorgida2Livio Leo3Department of Gynaecology and Obstetrics, University Hospital Maggiore della Carità, 28100 Novara, ItalyDepartment of Gynaecology and Obstetrics, University Hospital Maggiore della Carità, 28100 Novara, ItalyDepartment of Gynaecology and Obstetrics, University Hospital Maggiore della Carità, 28100 Novara, ItalyDepartment of Gynecology and Obstetrics, Hopital Beauregard, AUSL Valleè d’Aoste, 11100 Aosta, ItalySpontaneous rupture of the utero-ovarian vessels is an exceptionally rare but potentially life-threatening condition, especially in the case of non-pregnant women with a history of complex gynecological conditions. We report the case of a 45-year-old woman presenting with severe abdominal pain and hemoperitoneum, 15 years after surgical eradication of stage IV endometriosis. Diagnostic imaging revealed significant free fluid and vascular disruption near the uterus. Emergency laparotomy confirmed blood in the peritoneal cavity and identified a rupture of the left paracervical vessels. This case underscores the critical role of timely surgical intervention and the challenges of diagnosing spontaneous vascular rupture in the context of chronic conditions such as endometriosis and fibromyalgia. A review of the literature revealed very limited cases with similar presentations, emphasizing the rarity of such vascular events, although without active endometriotic lesions. This report highlights the importance of considering spontaneous vascular rupture in differential diagnoses for acute abdominal pain with hemoperitoneum. Advanced imaging and multidisciplinary management are pivotal in ensuring favorable outcomes.https://www.mdpi.com/2673-4184/5/1/1spontaneous hemoperitoneumendometriosiscase reportlaparotomygynecology |
| spellingShingle | Alessandro Libretti Anthony Nicosia Valentino Remorgida Livio Leo Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication Women spontaneous hemoperitoneum endometriosis case report laparotomy gynecology |
| title | Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication |
| title_full | Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication |
| title_fullStr | Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication |
| title_full_unstemmed | Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication |
| title_short | Spontaneous Rupture of the Utero-Ovarian Vessels in a Non-Pregnant Woman 15 Years Following Endometriosis Eradication |
| title_sort | spontaneous rupture of the utero ovarian vessels in a non pregnant woman 15 years following endometriosis eradication |
| topic | spontaneous hemoperitoneum endometriosis case report laparotomy gynecology |
| url | https://www.mdpi.com/2673-4184/5/1/1 |
| work_keys_str_mv | AT alessandrolibretti spontaneousruptureoftheuteroovarianvesselsinanonpregnantwoman15yearsfollowingendometriosiseradication AT anthonynicosia spontaneousruptureoftheuteroovarianvesselsinanonpregnantwoman15yearsfollowingendometriosiseradication AT valentinoremorgida spontaneousruptureoftheuteroovarianvesselsinanonpregnantwoman15yearsfollowingendometriosiseradication AT livioleo spontaneousruptureoftheuteroovarianvesselsinanonpregnantwoman15yearsfollowingendometriosiseradication |