Pelvic Exit Plane

The pelvic exit plane (planum exitus Pelvis, or PEP, can sometimes also be called the free membrane and anambrotic membrane) is the region of the process of the gallbladder in the human body. It is located between the body and the cervix and close to the ureter (ureter). Quite often, the PEP is found damaged during difficult childbirth or surgical operations in the pelvic organs. The release of blood through the flat part of the uterus in the PEP can have different reasons: various tumors, multiple ruptures of the uterine membrane, necrosis of the genital canal due to a hematometer, after the birth of a child with a vaginal episiotome, damage to the uterus of traumatic origin during severe surgical interventions. Even more common is the accidental diagnosis of PEP during a pathological examination of a removed uterus or a uterus after removal due to oncological processes.

Usually, blood begins to be released periodically and precisely at the moment of intense physical activity, shaking during a car ride or rolling carts, as well as during movement during gynecological procedures and ultrasound examination of the pelvic organs, during a sharp decrease in pressure. These aspects should be clarified with a gynecologist or treating specialist.