Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman
نویسندگان
چکیده
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.
منابع مشابه
Successful laparoscopic management of hemoperitoneum due to spontaneous venous rupture overlying a uterine fibroid
Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. A 38-yearold woman presented to the emergency department with acute onset of abdominal pain. The ultrasound revealed multiple fibroids and free fluid in the peritoneum. There was a significant drop of the hemoglobin and hematocrit. The patient underwent emergent exploratory laparoscopy. A subserosal uterin...
متن کاملMassive 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...
متن کاملA Case of Torsion of a Pedunculated Subserosal Uterine Leiomyoma Accompanied with Acute Gastroenteritis: a Possible Diagnostic Pitfall
A literature search on acute abdomen caused by a leiomyoma does not yield many specifi c reports of myoma-related complications or the presenting features. We describe a case of torsion of a pedunculated subserosal uterine leiomyoma in a 25-year-old virgin female who noticed lower abdominal pain with severe diarrhea, which was assumed to be typical acute gastroenteritis undoubtedly. Awareness o...
متن کاملSudden Death by Pulmonary Thromboembolism due to a Large Uterine Leiomyoma with a Parasitic Vein to the Mesentery
The pathophysiology of venous thrombosis is classically attributed to alterations in one or more components of Virchow's triad: hypercoagulability, stasis, and damage to the vascular endothelium. Deep vein thrombosis (DVT) may lead to pulmonary thromboembolism (PE), and the latter is culpable for many deaths annually in the United States; however, DVT as a complication of uterine leiomyoma has ...
متن کاملA Case of Torsion of a Subserosal Leiomyoma
Uterine leiomyoma is one of the most common gynecological tumor, whereas acute torsion of the uterine leiomyoma is very rare. We report a case of subserosal leiomyoma that was first detected by ultrasonography, and further confirmed as torsion of subserosal leiomyoma by laparoscopic surgery.
متن کامل