Point-of-care Ultrasonography of a Rare Cause of Hemoperitoneum

Kelson, Kyle; Riscinti, Matthew; Secko, Michael; deSouza, Ian S.

doi:10.5811/cpcem.2018.7.38210

Cited by 2 publications

(2 citation statements)

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“…Outside of pregnancy, spontaneous rupture of fibroid and subsequent hypovolemic shock necessitating emergency laparotomy for control of hemorrhage has been reported in young, nulliparous women as well as in postmenopausal women [7][8][9][10]. Rare case reports have described spontaneous rupture of fibroids occurring during pregnancy in women without prior myomectomies, notably in the second trimester as well as postpartum [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…In both pregnant and non-pregnant patients presenting with abdominal pain and concern for active hemorrhage, point-of-care ultrasound (POCUS) has been utilized for triage and management decision making [8][9][10]12]. In the present report, we describe the use of POCUS for the evaluation of a patient with a known fibroid and no prior surgical history presenting with acute abdominal pain and concern for active hemorrhage in the third trimester of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

Lammers

Hong

Tepper

et al. 2021

pocus

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Background: Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented. Case: The current case report involves a woman who presented with acute abdominal pain in the third trimester of pregnancy and was found to have spontaneous rupture of a fibroid before the onset of labor. Her initial presentation, diagnosis through use of point-of-care ultrasound, acute surgical management, and postoperative course are described. Conclusion: When assessing acute abdominal pain in a pregnant patient, fibroid rupture should be considered despite the absence of prior uterine surgery. Bedside point-of-care ultrasonography is a useful tool for assessment of abdominal pain in the third trimester of pregnancy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

Lammers

Hong

Tepper

et al. 2021

pocus

View full text Add to dashboard Cite

show abstract

Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids

et al. 2021

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Intra-abdominal bleeding due to uterine fibroids is extremely rare, and preoperative diagnosis is difficult. Herein, we report a case of preoperatively diagnosed hypovolaemic shock due to intra-abdominal haemorrhage, in which fatal sequelae were prevented. A 46-year-old non-pregnant woman was brought to the hospital with a sudden-onset lower abdominal pain. On admission, she was in shock, and abdominal CT showed severe intra-abdominal haemorrhage. Since bleeding from uterine fibroids was suspected, an emergency simple total hysterectomy was performed, and her condition became stable after the operation. Intra-abdominal haemorrhage with hypovolaemic shock requires prompt surgical intervention. Although it occurs very rarely due to bleeding from uterine fibroids, imaging shows large fibroids; if the patient is not pregnant, bleeding from the fibroids should be considered.

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Point-of-care Ultrasonography of a Rare Cause of Hemoperitoneum

Cited by 2 publications

References 10 publications

Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids

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