Myomectomies for massive hemoperitoneum from spontaneous bleeding of a uterine myoma

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Myomectomies for massive hemoperitoneum from spontaneous bleeding of a uterine myoma

Massive hemoperitoneum from spontaneous bleeding of uterine myoma is an extremely rare condition, that needs urgent surgical exploration. We report a 40-year-old woman, admitted for acute onset of abdominal pain. Physical examination revealed hypovolemic shock. The hemoglobin level was of 5 g/dL. Ultrasonography revealed hemoperitoneum. Emergency surgical exploration was planned. There was hemo...

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Massive hemoperitoneum following spontaneous rupture of an arterial aneurysm overlying a uterine myoma.

Intraperitoneal hemorrhage caused by a uterine myoma is rare. A 54-year-old woman was admitted to the emergency room; on admission, she was in cardiopulmonary arrest with pulseless electrical activity. Transabdominal ultrasonography revealed hyperechoic fluid filled almost the entire abdominal cavity. On contrast-enhanced computed tomography, extravasation of contrast material was observed insi...

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Hemoperitoneum caused by a bleeding myoma in pregnancy.

The prevalence of uterine myomas during pregnancy is estimated to range from 0.3% to 2.6%. Although leiomyomas usually remain asymptomatic, in one often cases they may be complicated. The management of uterine fibroids during pregnancy is largely conservative and surgical removal is generally delayed until post partum. A 37-year-old pregnant woman (15 weeks) with a history of gynecologic examin...

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Spontaneous transhepatic rupture of the gallbladder with massive hemoperitoneum.

Perforation of the gallbladder has an incidence of 1.6 to 2.8% in gallbladder disease. Among these cases transhepatic rupture is a very rare event. We report a case associated with secondary massive hemoperitoneum, free gallstone spillage, partial portal vein thrombosis and secondary pulmonary embolism.

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ژورنال

عنوان ژورنال: Journal of Surgical Case Reports

سال: 2017

ISSN: 2042-8812

DOI: 10.1093/jscr/rjx127