Endometriosis in a Twin Pregnancy Leading to Massive Hemoperitoneum and Intrauterine Death: A Case Report

Endometriosis, defined as ectopic endometrium-like glands outside the uterus, is well known to be the main cause of infertility. It is commonly thought to become quiescent during pregnancy. In recent years, however, new breakthroughs in the area of assisted reproductive technology (ART) have resulted in a rise in women with endometriosis conceiving. An association between endometriosis and preterm births, small for gestation age (SGA) babies, higher caesarean section rates, antepartum hemorrhage and preeclampsia have been described in the literature. It is thus imperative for heightened antenatal surveillance in women with surgically confirmed severe endometriosis and for the risks as mentioned above to be made known to these women. We present a case report on the disastrous outcomes (massive hemoperitoneum and intrauterine death) of endometriosis in a twin pregnancy.