@article{zierau2016severe,
  title = {Severe Complications Related to Caesarean Delivery in Patients with Endometriosis},
  author = {A. Louise D. Zierau and Jens Langhoff-Roos and Tórur Dalsgaard and Janne Foss Berlac},
  year = 2016,
  url = {https://ibimapublishing.com/articles/IJCRM/2016/620369/},
  journal = {International Journal of Case Reports in Medicine},
  volume = 2016 (2016),
  pages = 4,
  doi = 10.5171/2016.620369,
  abstract = {Introduction: Endometriosis is a chronic inflammatory disease with endometrial-like tissue outside the uterine cavity, which leads to adhesions in the surrounding tissue. In pregnancy, endometriosis-derived ectopic decidua may be induced, and at delivery, the tissues are stretched and complications may occur. We report two cases where caesarean section in women with endometriosis led to severe complications.Case presentations: A 33-year old nullipara had an emergency caesarean section at 37+2 weeks of gestation. Extraction of the infant was complicated due to endometriotic and fibrotic tissue. The postoperative course was complicated by an infected haematoma.A 30-year old nullipara had an emergency caesarean section at 38+3 weeks of gestation. Excessive bleeding and a large retroperitoneal haematoma complicated the surgery.Conclusion: These two cases emphasize that caesarean delivery in patients with severe endometriosis may be associated with an elevated risk of complications such as intestinal perforation and excessive bleeding due to endometriotic lesions.},
  keywords = {Endometriosis, caesarean delivery, haematoma, postoperative complications},
  note = Article ID: 620369
}