IMR Press / CEOG / Volume 48 / Issue 2 / DOI: 10.31083/j.ceog.2021.02.2119
Open Access Case Report
Hemoperitoneum caused by bleeding of adenomyosis: a case report
Show Less
1 Department of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, China
*Correspondence: (Li-Hua Yang); (Qing-Hua Zhao)
Clin. Exp. Obstet. Gynecol. 2021, 48(2), 444–447;
Submitted: 18 April 2020 | Revised: 20 July 2020 | Accepted: 28 July 2020 | Published: 15 April 2021
Copyright: © 2021 The Authors. Published by IMR Press.
This is an open access article under the CC BY-NC 4.0 license (

Rationale: Adenomyosis is a disease in which the endometrial tissues (glands and stroma) extend into the myometrium. It usually occurs in parous women aged 35 to 50 years old. The common symptoms include secondary severe dysmenorrhea and menorrhagia. Hemoperitoneum is extremely rare and easily overlooked. Patient concerns: A 46-year-old woman had adenomyosis and hemoperitoneum caused by bleeding of adenomyosis. Diagnoses: Adenomyosis and hemoperitoneum. Interventions: Hysterectomy with unilateral adnexectomy and subcutaneous injection of GnRH-α every 28 days for 3 times. Outcomes: The patient recovered well after the operation and was asymptomatic for 3 months after the operation. Lessons: We reported a case of adenomyosis in a parous woman. This patient received surgery because hemoperitoneum caused by bleeding of adnomyosis. It was important to timely diagnose and treat.

2020J0183/Science Research Fund of Yunnan Education Department in 2020
2018yk017/Science and Technology Project of the Second Affiliated Hospital of Kunming Medical University
81960469/National Natural Science Foundation of China
Fig. 1.
Back to top