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Myomectomies for massive hemoperitoneum from spontaneous bleeding of a uterine myoma.
J Surg Case Rep. 2017 Jul; 2017(7):rjx127.JS

Abstract

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 hemoperitoneum of 3 L, uterine myomas with multiple subserous myomas, bleeding from superficial ruptured varice overlying the most largest subserous myoma, which measured 15 cm. Glove adapted as a tourniquet, was applied at the base of the uterus, and myomectomies were performed with removal of around twenty myomas. The postoperative course was uneventful. Myomectomies can be safely and effectively performed by using a tourniquet, for massive hemoperitoneum with precarious hemodynamic status due to subserous myoma bleeding, despite the number and the size of myomas.

Authors+Show Affiliations

Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo. Service de Gynécologie et Obstétrique, Clinique Biasa, BP: 2160 Lomé, Togo.Service de Gynécologie et Obstétrique, Clinique Biasa, BP: 2160 Lomé, Togo.Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo.Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo.Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo.Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo.Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo.Service de Chirurgie Générale et Viscérale, Centre Hospitalier Universitaire Sylvanus Olympio, BP: 57 Lomé, Togo. Service de Gynécologie et Obstétrique, Clinique Biasa, BP: 2160 Lomé, Togo.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

28852453

Citation

Kassegne, I, et al. "Myomectomies for Massive Hemoperitoneum From Spontaneous Bleeding of a Uterine Myoma." Journal of Surgical Case Reports, vol. 2017, no. 7, 2017, pp. rjx127.
Kassegne I, Kolani K, Tchangai B, et al. Myomectomies for massive hemoperitoneum from spontaneous bleeding of a uterine myoma. J Surg Case Rep. 2017;2017(7):rjx127.
Kassegne, I., Kolani, K., Tchangai, B., Kanassoua, K., Adabra, K., Alassani, F., Amavi, A. K., & Dosseh, E. D. J. (2017). Myomectomies for massive hemoperitoneum from spontaneous bleeding of a uterine myoma. Journal of Surgical Case Reports, 2017(7), rjx127. https://doi.org/10.1093/jscr/rjx127
Kassegne I, et al. Myomectomies for Massive Hemoperitoneum From Spontaneous Bleeding of a Uterine Myoma. J Surg Case Rep. 2017;2017(7):rjx127. PubMed PMID: 28852453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Myomectomies for massive hemoperitoneum from spontaneous bleeding of a uterine myoma. AU - Kassegne,I, AU - Kolani,K, AU - Tchangai,B, AU - Kanassoua,K, AU - Adabra,K, AU - Alassani,F, AU - Amavi,A K, AU - Dosseh,E D J, Y1 - 2017/07/07/ PY - 2017/06/06/received PY - 2017/06/14/accepted PY - 2017/8/31/entrez PY - 2017/8/31/pubmed PY - 2017/8/31/medline SP - rjx127 EP - rjx127 JF - Journal of surgical case reports JO - J Surg Case Rep VL - 2017 IS - 7 N2 - 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 hemoperitoneum of 3 L, uterine myomas with multiple subserous myomas, bleeding from superficial ruptured varice overlying the most largest subserous myoma, which measured 15 cm. Glove adapted as a tourniquet, was applied at the base of the uterus, and myomectomies were performed with removal of around twenty myomas. The postoperative course was uneventful. Myomectomies can be safely and effectively performed by using a tourniquet, for massive hemoperitoneum with precarious hemodynamic status due to subserous myoma bleeding, despite the number and the size of myomas. SN - 2042-8812 UR - https://www.unboundmedicine.com/medline/citation/28852453/Myomectomies_for_massive_hemoperitoneum_from_spontaneous_bleeding_of_a_uterine_myoma_ L2 - https://academic.oup.com/jscr/article-lookup/doi/10.1093/jscr/rjx127 DB - PRIME DP - Unbound Medicine ER -
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