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Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma.
J Radiol Case Rep. 2017 Mar; 11(3):15-21.JR

Abstract

Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition.

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Authors+Show Affiliations

Mizrahi DJ
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, USA.
Kaushik C
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, USA.
Adamo R
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, USA.

MeSH

AdultFemaleHemoperitoneumHumansHypovolemiaLeiomyomaLigationRupture, SpontaneousTomography, X-Ray ComputedUterine Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28584568

Citation

Mizrahi, Daniel J., et al. "Hypovolemic Shock and Hemoperitoneum From Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma." Journal of Radiology Case Reports, vol. 11, no. 3, 2017, pp. 15-21.
Mizrahi DJ, Kaushik C, Adamo R. Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma. J Radiol Case Rep. 2017;11(3):15-21.
Mizrahi, D. J., Kaushik, C., & Adamo, R. (2017). Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma. Journal of Radiology Case Reports, 11(3), 15-21. https://doi.org/10.3941/jrcr.v11i3.3054
Mizrahi DJ, Kaushik C, Adamo R. Hypovolemic Shock and Hemoperitoneum From Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma. J Radiol Case Rep. 2017;11(3):15-21. PubMed PMID: 28584568.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma. AU - Mizrahi,Daniel J, AU - Kaushik,Chhavi, AU - Adamo,Robert, Y1 - 2017/03/31/ PY - 2017/6/7/entrez PY - 2017/6/7/pubmed PY - 2017/11/14/medline KW - Fibroid KW - Hemoperitoneum KW - Hypovolemic shock KW - Leiomyoma KW - Pedunculated leiomyoma KW - Spontaneous avulsion SP - 15 EP - 21 JF - Journal of radiology case reports JO - J Radiol Case Rep VL - 11 IS - 3 N2 - Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition. SN - 1943-0922 UR - https://www.unboundmedicine.com/medline/citation/28584568/Hypovolemic_Shock_and_Hemoperitoneum_from_Spontaneous_Avulsion_of_a_Large_Pedunculated_Uterine_Leiomyoma_ L2 - https://doi.org/10.3941/jrcr.v11i3.3054 DB - PRIME DP - Unbound Medicine ER -