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Intra-leiomyoma massive hemorrhage after delivery.
J Obstet Gynaecol Res. 2013 Jan; 39(1):355-8.JO

Abstract

Massive bleeding into a uterine leiomyoma is an extremely rare cause of hypovolemic shock. Only one case of this life-threatening condition has been reported. Our patient was a 39-year-old woman who had a gradual growth of a subserous myoma throughout pregnancy and sudden rapid growth after cesarean section at 35 weeks of gestation. The rapid growth was due to intra-tumor massive bleeding and was associated with hypovolemic shock without evidence of external or intra-abdominal hemorrhage. We hypothesize that a rapid decrease in size of the uterus after delivery might have compressed the venous drainages, which were more vulnerable to occlusion than arterial blood flows, resulting in blood sequestration into the tumor leading to hypovolemia.

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Authors+Show Affiliations

Manopunya M
Departments of Obstetrics and Gynecology Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Tongprasert F
No affiliation info available
Sukpan K
No affiliation info available
Tongsong T
No affiliation info available

MeSH

AdultCesarean SectionFemaleHemoperitoneumHemorrhageHumansLeiomyomaPregnancyPregnancy Complications, NeoplasticTreatment OutcomeUterine NeoplasmsUterus

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22765641

Citation

Manopunya, Manatsawee, et al. "Intra-leiomyoma Massive Hemorrhage After Delivery." The Journal of Obstetrics and Gynaecology Research, vol. 39, no. 1, 2013, pp. 355-8.
Manopunya M, Tongprasert F, Sukpan K, et al. Intra-leiomyoma massive hemorrhage after delivery. J Obstet Gynaecol Res. 2013;39(1):355-8.
Manopunya, M., Tongprasert, F., Sukpan, K., & Tongsong, T. (2013). Intra-leiomyoma massive hemorrhage after delivery. The Journal of Obstetrics and Gynaecology Research, 39(1), 355-8. https://doi.org/10.1111/j.1447-0756.2012.01932.x
Manopunya M, et al. Intra-leiomyoma Massive Hemorrhage After Delivery. J Obstet Gynaecol Res. 2013;39(1):355-8. PubMed PMID: 22765641.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intra-leiomyoma massive hemorrhage after delivery. AU - Manopunya,Manatsawee, AU - Tongprasert,Fuanglada, AU - Sukpan,Kornkanok, AU - Tongsong,Theera, Y1 - 2012/07/06/ PY - 2012/7/7/entrez PY - 2012/7/7/pubmed PY - 2013/12/16/medline SP - 355 EP - 8 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 39 IS - 1 N2 - Massive bleeding into a uterine leiomyoma is an extremely rare cause of hypovolemic shock. Only one case of this life-threatening condition has been reported. Our patient was a 39-year-old woman who had a gradual growth of a subserous myoma throughout pregnancy and sudden rapid growth after cesarean section at 35 weeks of gestation. The rapid growth was due to intra-tumor massive bleeding and was associated with hypovolemic shock without evidence of external or intra-abdominal hemorrhage. We hypothesize that a rapid decrease in size of the uterus after delivery might have compressed the venous drainages, which were more vulnerable to occlusion than arterial blood flows, resulting in blood sequestration into the tumor leading to hypovolemia. SN - 1447-0756 UR - https://www.unboundmedicine.com/medline/citation/22765641/Intra_leiomyoma_massive_hemorrhage_after_delivery_ L2 - https://doi.org/10.1111/j.1447-0756.2012.01932.x DB - PRIME DP - Unbound Medicine ER -