Korean J Obstet Gynecol.  2012 Jul;55(7):526-529. 10.5468/KJOG.2012.55.7.526.

A Case of Hemoperitoneum from A Spontaneous Venous Rupture Overlying Uterine Leiomyoma

• Kang SY
• Kwon JY
• Lee E
• Kim CJ

• KMID: 1992565
• DOI: http://doi.org/10.5468/KJOG.2012.55.7.526

Abstract

Uterine leiomyoma is the most common benign tumor of the uterus found in reproductive-aged women, however, rupture of blood vessel overlying a uterine myoma is extremely rare. In this case, we described a case of the spontaneous bleeding of superficial vessels overlying a 3x4 cm sized subserosal myoma in a woman with low abdominal pain. Spontaneous rupture of a superficial vessel of leiomyoma can cause acute abdominal pain and hemoperitoneum. Although this is a very rare complication of uterine leiomyoma, considering of the high prevalence of uterine myoma, we should keep in mind this complication in work-up of patient with hemoperitoneum.

Keyword

Leiomyoma; Rupture; Superficial vessel; Hemoperitoneum

MeSH Terms

Abdominal Pain
Blood Vessels
Female
Glycosaminoglycans
Hemoperitoneum
Hemorrhage
Humans
Leiomyoma
Myoma
Prevalence
Rupture
Rupture, Spontaneous
Uterus
Glycosaminoglycans

Figure

• 

  Fig. 1 Pelvic computer tomographic image shows subserosal myoma with 3×4 cm in diameter and moderate amount of fluid collection in cul de sac.

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  Fig. 2 During surgery, a bleeding superficial vein was noted, located on the surface of subserosal myoma (A) and 300 mL of blood were drained from the pelvic cavity (B).

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