Abstract
A 35 year old primigravida had delivered a healthy live born infant on term. Her medical and surgery history was unremarkable. 14 days after the delivery she started feeling unwell and having dizziness. 4 days later she started feeling heavy abdominal pain and pre shocked. There was no abnormal vaginal bleeding. She was admitted to the emergency department at our hospital. A abdominal ultrasound scan was performed that revealed a lot of free fluid in the abdomen and she underwent a diagnostic laparoscopy. We found 2,5 l of fresh and partially clotted blood in the abdomen. The inspection oft he abdominal cavity showed intact gastrointestinal organs. The uterus, the tubes were intact. In the cul-de-sac we found large adhesions and also the ovarys were covered with endometrial like tissue. The left ovary presented a ruptured endomertriosis-like cyst with diffuse hemorrage. Biospies were taken. Bleeding was stopped.
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