Open Access Case Report

A Special Case Report of Aggressive Hemorrhage in Posterior Vaginal Fornix DIE

Dan Tang, Junling Liu, Ruxia Shi, Yunfen Jiang, Zhongfang Zhang and Jiming Chen*

Department of Obstetrics and Gynecology, the Affiliated Changzhou NO. 2 People’s Hospital of Nanjing Medical University, Changzhou 213000, China

Corresponding Author

Received Date: November 13, 2018;  Published Date: November 27, 2018


Deep infiltrating endometriosis (DIE) is defined by the presence of endometrial implants, fibrosis, and muscular hyperplasia below the peritoneum, invading the tissue to a depth of more than 5 mm [1]. Deep endometriosis involves, in descending order of frequency, the uterosacral ligaments (USL), the rectosigmoid colon, the vagina, and the bladder [2]. Pain and infertility are the main manifestations of DIE, including dysmenorrhea pain, chronic pelvic pain, dyspareunia, defecation pain, dysuria and back pain. DIE lesions are deep infiltration, severe pain symptoms, poor conservative treatment, difficult surgery, pelvic adhesions, and high risk of surgical accessory injury.

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