論文

査読有り 国際誌
2019年3月

Rupture of perivascular epithelioid cell neoplasm at 34 weeks' gestation: A nonendometriosis case of spontaneous hemoperitoneum in pregnancy.

The journal of obstetrics and gynaecology research
  • Kenta Nitahara
  • ,
  • Megumi Sasaki
  • ,
  • Saori Ichikawa
  • ,
  • Keita Tsuji
  • ,
  • Yuji Yoshida

45
3
開始ページ
709
終了ページ
713
記述言語
英語
掲載種別
DOI
10.1111/jog.13870

Spontaneous hemoperitoneum in pregnancy (SHiP) has mainly been discussed in the context of endometriosis. With hormonal changes and enlargement of the uterus during pregnancy, tumors can also increase the chance of rupture and consequent SHiP. We report a case of a 30-year-old primiparous woman presented with sudden-onset intraabdominal hemorrhage at 34 weeks' gestation. The source of bleeding was rupture of a perivascular epithelioid cell neoplasm on the left round ligament of the uterus. The pregnancy ended with an uncomplicated, full-term, vaginal delivery. We performed an additional post-partum surgery to resect the left round ligament and transposition of the right ovary. In cases of SHiP, the possibility of a nonendometriosis origin should be considered. Preoperative imaging and histologic examinations of bleeding lesions are crucial for managing SHiP.

リンク情報
DOI
https://doi.org/10.1111/jog.13870
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30548368

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