Massive hemoperitoneum due to rupture of surface veins of a uterine leiomyoma

Bangal, Vidyadhar B; Shinde, Kunaal K; Gavhane, Satyajit P.; Ghorpade, Nitin; Gupta, Kanika; Gangapurwala, Sonika

doi:10.7439/ijbar.v5i2.666

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…The first case was reported by Von Rokitansky in 1861 as an autopsy finding. The patient died from peritoneal bleeding [ 2 ].The causes given to explain this complication are venous congestion during menstruation, associated with the uterine contractions that can distend the blood vessels, venous congestion during pregnancy, straining during defaecation, any situations leading to increased abdominal pressure (sport, strenuous exercise, massage), abdominal trauma and violent coitus [ 1 , 3 , 4 ]. In this case; our patient was aware about the presence of fibroid in her uterus.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman

Jenayah¹,

Saoudi²,

Sferi³

et al. 2017

Pan Afr Med J

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Uterine leiomyomas are very common tumors found in women. Rupture of veins on the surface of uterine leiomyoma is an unusual source of hemoperitoneum. It is an extremely uncommon gynaecological cause of hemoperitoneum. It is a life threatening emergency. We report a case of massive intraperitoneal hemorrhage due to rupture of vessels on the surface of subserous leiomyoma. A differential diagnosis of rupture of leiomyoma’ssurface vessel should be considered, while dealing with a case of hemoperitoneum with pelvic mass.

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Section: Discussionmentioning

confidence: 99%

Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman

Jenayah¹,

Saoudi²,

Sferi³

et al. 2017

Pan Afr Med J

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“…The causes of hemoperitoneum in connection with leiomyoma include bleeding from a subserosal artery [ 6 ], rupture of a subserosal vein overlying a uterine myoma [ 5 ], an avulsed pedunculated leiomyoma [ 7 ], a ruptured leiomyoma [ 8 , 10 ], or a lacerated leiomyoma [ 11 ]. In most cases, bleeding from a uterine leiomyoma has been associated with trauma or torsion of the tumor.…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal pain was the most common symptom described on initial presentation with worsening pain since then. About 83.2% presented with sudden onset lower abdominal pain while 16% experienced a gradual onset over 3–5 days [ 5 ]. Women presenting with cardiovascular collapse [ 13 ] have been documented, and there are reports of severe morbidity and mortality due to late presentation or delay in establishing the diagnosis as the mortality is about 3.2% [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Intra-abdominal hemorrhage due to uterine fibroids is rare as evidenced by the identification of only 125 cases in the English language literature since 1902 [ 4 ]. The source of hemorrhage in over half of the patients identified was a ruptured superficial vessel overlying a leiomyoma [ 5 , 6 ] or could be posttraumatic [ 7 , 8 ]. There is a historical scientific basis supporting abnormal vasculature of subserosal fibroids that is susceptible to spontaneous rupture [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Intra-Abdominal Hemorrhagic Catastrophe due to Large Subserous Myomatous Capsular Venous Rupture

Sethupathy¹,

Madathupalayam²,

Prasad³

2022

Case Reports in Obstetrics and Gynecology

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Uterine leiomyoma is a common benign uterine tumor of women in the reproductive age group. Although the common symptoms of leiomyoma are menorrhagia and dysmenorrhoea, this patient presenting as a near collapse is a rare finding. The patient presented with abdominal pain and worsening anemia within a span of hours and hypotension, tachycardia, and tachypnoea needing urgent surgical intervention and blood transfusion and intensive care support is relatively rare. Though every effort to know the exact cause of intraperitoneal hemorrhage in this patient was taken, the rarer diagnosis of capsular venous rupture was not identified prior to surgical intervention. Initially, laparoscopy was introduced first to identify the cause of massive hemorrhage; the approach was changed to open myomectomy keeping in mind the general condition of the patient. Hence, for any patient with a prior diagnosis of myoma with hemodynamic instability, the rarer diagnosis of leiomyomatous capsular venous erosion should be a differential diagnosis to aid in the appropriate management of the women. The team of interdisciplinary expertise will definitely improve the outcomes in such cases.

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“…In the absence of prior diagnosis, emergency surgical intervention is advocated to confirm the diagnosis and arrest hemorrhage. [6][7][8][9][10] …”

Section: Discussionmentioning

confidence: 99%

Hemoperitoneum - A rare complication in Subserous Uterine Fibroid

Bangal

Singh

Akuskar

et al. 2014

Int Jour of Biomed Res

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Massive hemoperitoneum due to rupture of surface veins of a uterine leiomyoma

Cited by 4 publications

References 6 publications

Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman

Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman

Intra-Abdominal Hemorrhagic Catastrophe due to Large Subserous Myomatous Capsular Venous Rupture

Hemoperitoneum - A rare complication in Subserous Uterine Fibroid

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