Intraperitoneal Haemorrhage from a Vessel on the Surface of a Uterine Fibroid

Bigby, Mary A. M.

doi:10.1136/bmj.2.5198.580

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Uterine leiomyomas are common benign tumors in women; however, complications resulting in acute hemoperitoneum are extremely rare. Large intraperitoneal hemorrhage from leiomyomas has been reported as a result of ruptured surface subserosal veins [8,9]. Degeneration of leiomyomas resulting in rupture has also been described in both pregnant and nonpregnant patients [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…Leiomyomas are common benign tumors and can undergo degeneration. Rupture of degenerated uterine leiomyomas to cause acute intraperitoneal hemorrhage is extremely rare with only case reports in the literature so far [1][2][3][4][5][6][7][8][9][10]. The pathological finding in these leiomyomas had significant degenerative changes or was associated with other factors such as infection [1], activity [2], and pregnancy [6,7].…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography

Shan

Harjee

McLaughlin

et al. 2020

Case Reports in Obstetrics and Gynecology

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Background. Spontaneous rupture of benign uterine fibroids is extremely rare and has been associated with fibroid degeneration. It can cause acute intraperitoneal bleeding requiring immediate surgical intervention. Case. A previously healthy 50-year-old, Caucasian, nullipara presented with syncope, hemodynamic instability, and an acute abdomen. Noncontrast computed tomography images showed a positive sentinel clot sign in the pelvis as well as a large uterine fibroid with internal hyperdense clot suggesting acute rupture. Urgent laparotomy and hysterectomy confirmed a ruptured, actively bleeding, uterine fibroid with final pathological diagnosis of a benign leiomyoma. Conclusion. Prompt diagnosis and emergency surgical intervention were necessary to control acute hemorrhage from a ruptured uterine fibroid. Noncontrast computed tomography is an important adjunct to contrast-enhanced computed tomography and was vital for diagnosis in this case.

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Section: Discussionmentioning

confidence: 99%