The aim of the literature review was to compile and compare similar cases of massive haemoperitoneum in an asymptomatic woman where the bleeding was from the right uterine artery, which had been eroded by pelvic endometriosis. To our knowledge this is the second case reported in the literature. Case reports of other sources of bleeding leading to haemoperitoneum were studied, comparisons were made, and the results compiled. Although several cases of massive haemoperitoneum have been reported, spontaneous bleeding from uterine artery erosion is a rare occurrence. The abdominal surgeon should be vigilant and alert to localise rare sites of bleeding. This literature review emphasises that endometriosis can present in many ways and a high level of clinical suspicion is necessary.
The majority of urogynaecological problems can manifest during pregnancy or as a direct result of pregnancy and delivery. Those most commonly occurring during pregnancy are urinary tract infection, filling and voiding disorders, urinary incontinence, pelvic organ prolapse and faecal incontinence. The development of these may be as a result of physiological changes that occur in pregnancy or as a result of previous pregnancies. There may also be urogynaecological sequelae that occur as a result of trauma sustained during delivery. These include perineal and anal sphincter trauma, bladder or ureteric injuries during caesarean section or operative deliveries, and the development of vesico-vaginal or recto-vaginal fistulae.
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