A case report of unusual complication of myomatous uterus in pregnancy: spontaneous perforation of myoma after red degeneration

Makar, Amin; Meulyzer, P; Vergote, Ignace; Schatteman, Etienne; Huyghe, Marc; Meeuwis, Luc

doi:10.1016/0028-2243(89)90166-4

Cited by 27 publications

(12 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,6,9,10 However, according to some reports, the rupture of a degenerated leiomyoma caused no intra-abdominal bleeding but caused peritonitis due to leakage of the fluid content of the degenerated leiomyoma into the peritoneal cavity. 11,12 Our case is considered similar to the latter case. In addition to the pain caused by leiomyoma degeneration, if intraperitoneal bleeding, peritonitis, or ileus is present, leiomyoma rupture should be considered.…”

Section: Discussionmentioning

confidence: 75%

Spontaneous rupture of a degenerated leiomyoma causing peritonitis and ileus during pregnancy: A case report

Odagami

Makino

Miyagi

et al. 2020

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 75%

Spontaneous rupture of a degenerated leiomyoma causing peritonitis and ileus during pregnancy: A case report

Odagami

Makino

Miyagi

et al. 2020

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…Spontaneous etiologies include pyometra, gestational trophoblastic disease (invasive hydatidiform mole and placental site trophoblastic tumor) and placenta accreta4–6. Rare cases of spontaneous uterine perforation in association with degeneration of a myoma and uterine infarction have also been reported7, 8.…”

Section: Discussionmentioning

confidence: 99%

Transvaginal sonographic findings of a large intramural uterine hematoma associated with iatrogenic injury sustained at termination of pregnancy

Sherer

Gorelick

Gabbur

et al. 2007

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

CASE REPORTA 21-year-old woman, gravida 1 para 0, presented to the emergency room at State University of New York, Downstate Medical Center with right lower abdominal pain radiating to her back, and nausea and vomiting, 3 days after surgical termination of pregnancy at 14 weeks' gestation. Her medical history was unremarkable. The patient denied a history of sexually transmitted disease, and her recent cervical cytology was normal. Three days before presentation the patient had undergone an elective outpatient termination of pregnancy by dilatation and suction curettage. The presence of a 14-week intrauterine gestation had been confirmed by ultrasound scan before the procedure. The preoperative ultrasound examination did not reveal any abnormal uterine findings, including any evidence of uterine leiomyomata. The patient had been told that the procedure, which was not performed under real-time ultrasound guidance, was uneventful. She was given routine oral antibiotics (doxycycline 100 mg twice daily for 5 days and methergine 0.2 mg twice daily for 2 days). An immediate postprocedure ultrasound examination was not obtained following the termination of pregnancy.Physical examination on presentation revealed a healthy woman. She was afebrile, with blood pressure 103/66 mmHg, and pulse 82 beats per min. Her abdomen was soft, yet with marked tenderness of the lower abdomen but no signs of peritoneal irritation. Bimanual pelvic examination disclosed a soft tender uterus enlarged to 8 weeks' size. Both adnexa were normal. The cervix was long and closed yet motion tenderness was present. Laboratory results revealed a hemoglobin level of 10.3 g/dL, hematocrit 29.9%, a white blood cell count of 9.64 × 10 9 d/L and a platelet count of 227 × 10 9 d/L. Serum creatinine, blood urea nitrogen, electrolyte levels, prothrombin time and partial thromboplastin time were normal, and the serum betahuman chorionic gonadotropin (beta-hCG) level was 5651 mIU/mL. Transvaginal ultrasonography showed an acutely retroflexed uterus with a normal endometrial echo. Both adnexa were normal. No free fluid was noted in the cul-de-sac. A 5 × 5-cm, well circumscribed mass with a hypoechoic center was noted in the anterior aspect of the lower uterine segment (Figure 1). Color Doppler imaging

show abstract

“…Degeneration (acute necrosis) of a fibroid may produce no characteristic features [20] or there may be complex heterogeneous internal structures of sonolucent areas in the fibroid [21,22].…”

Section: Miscellaneous Causes Of Acute Pelvic Painmentioning

confidence: 99%

Diagnostic and therapeutic capabilities of ultrasound in the management of pelvic pain

Okaro

Condous²

2005

Current Opinion in Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

A case report of unusual complication of myomatous uterus in pregnancy: spontaneous perforation of myoma after red degeneration

Cited by 27 publications

References 4 publications

Spontaneous rupture of a degenerated leiomyoma causing peritonitis and ileus during pregnancy: A case report

Spontaneous rupture of a degenerated leiomyoma causing peritonitis and ileus during pregnancy: A case report

Transvaginal sonographic findings of a large intramural uterine hematoma associated with iatrogenic injury sustained at termination of pregnancy

Diagnostic and therapeutic capabilities of ultrasound in the management of pelvic pain

Contact Info

Product

Resources

About