Korean J Obstet Gynecol.  2008 Aug;51(8):920-923.

A case of hemoperitoneum to spontaneous rupture of a vein of uterine myoma

• Kim JH
• Lee TS
• Hong SY

Abstract

Uterine leiomyoma is a common benign tumor in reproductive age women. Leiomyoma can cause acute abdominal pain through red degeneration, infection or torsion. Hemoperitoneum secondary to the rupture of superficial vein of a myoma is rare, and is difficult to diagnose preoperatively. Because this condition may be life threatening, prompt surgical treatment is mandatory. The possibility of the venous rupture overlying a uterine myoma should be kept in mind in a patient with acute abdomen and hypovolemic shock, especially if the patient had negative pregnancy test and clinically apparent or known myoma.

Keyword

Uterine myoma; Hemoperitoneum; Vein; Hemorrhage

MeSH Terms

Abdomen, Acute
Abdominal Pain
Female
Hemoperitoneum
Hemorrhage
Humans
Leiomyoma
Myoma
Pregnancy
Pregnancy Tests
Rupture
Rupture, Spontaneous
Shock
Veins