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Hemoperitoneum due to bleeding from a vein overlying a subserous uterine myoma: a case report.
J Med Case Rep. 2020 May 08; 14(1):55.JM

Abstract

BACKGROUND

Fibroids are the most common pelvic tumors in women; serious complications are rare but can be life-threatening.

CASE PRESENTATION

We present a case report of a 38-year-old Persian woman with acute abdominal pain and a history of uterine fibroids. The patient refused to undergo a laparoscopic myomectomy. Her ultrasound examination revealed free fluid in the abdominal cavity, and her vital signs were indicative of vasogenic shock. A diagnostic laparoscopy was performed to identify and control the source of bleeding: 400 ml of blood and blood clots were removed. Active bleeding was seen from a vein overlying a subserosal myoma. A laparotomic myomectomy was performed, and the patient was discharged 3 days after surgery with no complications.

CONCLUSION

Surgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma.

Authors+Show Affiliations

Endometriosis Research Center, Iran University of Medical Science, Tehran, Iran.Endometriosis Research Center, Iran University of Medical Science, Tehran, Iran.Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.Endometriosis Research Center, Iran University of Medical Science, Tehran, Iran.Endometriosis Research Center, Iran University of Medical Science, Tehran, Iran.Department of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, University Hospitals Campus Kiel, Kiel School of Gynecological Endoscopy, Arnold-Heller-Strasse 3, Haus 24, 24105, Kiel, Germany. kiel.school@uksh.de.Endometriosis Research Center, Rasoul Akram Hospital, Iran University of Medical Science, P.O. Box 1445613131, Tehran, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32384913

Citation

Rokhgireh, Samaneh, et al. "Hemoperitoneum Due to Bleeding From a Vein Overlying a Subserous Uterine Myoma: a Case Report." Journal of Medical Case Reports, vol. 14, no. 1, 2020, p. 55.
Rokhgireh S, Kashi AM, Kermansaravi M, et al. Hemoperitoneum due to bleeding from a vein overlying a subserous uterine myoma: a case report. J Med Case Rep. 2020;14(1):55.
Rokhgireh, S., Kashi, A. M., Kermansaravi, M., Tajbakhsh, B., Allahqoli, L., Alkatout, I., & Khodaverdi, S. (2020). Hemoperitoneum due to bleeding from a vein overlying a subserous uterine myoma: a case report. Journal of Medical Case Reports, 14(1), 55. https://doi.org/10.1186/s13256-020-02383-z
Rokhgireh S, et al. Hemoperitoneum Due to Bleeding From a Vein Overlying a Subserous Uterine Myoma: a Case Report. J Med Case Rep. 2020 May 8;14(1):55. PubMed PMID: 32384913.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hemoperitoneum due to bleeding from a vein overlying a subserous uterine myoma: a case report. AU - Rokhgireh,Samaneh, AU - Kashi,Abolfazl Mehdizadeh, AU - Kermansaravi,Mohammad, AU - Tajbakhsh,Banafsheh, AU - Allahqoli,Leila, AU - Alkatout,Ibrahim, AU - Khodaverdi,Sepideh, Y1 - 2020/05/08/ PY - 2019/08/22/received PY - 2020/03/27/accepted PY - 2020/5/10/entrez PY - 2020/5/10/pubmed PY - 2020/5/10/medline KW - Case report KW - Hemoperitoneum KW - Subserous myoma SP - 55 EP - 55 JF - Journal of medical case reports JO - J Med Case Rep VL - 14 IS - 1 N2 - BACKGROUND: Fibroids are the most common pelvic tumors in women; serious complications are rare but can be life-threatening. CASE PRESENTATION: We present a case report of a 38-year-old Persian woman with acute abdominal pain and a history of uterine fibroids. The patient refused to undergo a laparoscopic myomectomy. Her ultrasound examination revealed free fluid in the abdominal cavity, and her vital signs were indicative of vasogenic shock. A diagnostic laparoscopy was performed to identify and control the source of bleeding: 400 ml of blood and blood clots were removed. Active bleeding was seen from a vein overlying a subserosal myoma. A laparotomic myomectomy was performed, and the patient was discharged 3 days after surgery with no complications. CONCLUSION: Surgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/32384913/Hemoperitoneum_due_to_bleeding_from_a_vein_overlying_a_subserous_uterine_myoma:_a_case_report L2 - https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-020-02383-z DB - PRIME DP - Unbound Medicine ER -
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