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Spontaneously ruptured uterine angioleiomyoma
Nil Culhaci1, Esra Ozkara, Hasan Yüksel
1Department of Pathology, Adnan Menderes University, Faculty of Medicine, Aydin, 09100, Turkey. nculhaci@adu.edu.tr.
Pathology Oncology Research : POR
|March 24, 2006
Summary
A rare uterine angioleiomyoma presented unusually as a ruptured, bleeding tumor in a 45-year-old woman. This case highlights the importance of considering angioleiomyoma in patients with acute abdominal pain and suspected uterine masses.
Area of Science:
- Gynecologic Oncology
- Pathology
- Vascular Biology
Background:
- Angioleiomyoma is a rare benign uterine tumor originating from smooth muscle cells.
- These tumors are characterized by the presence of thick-walled blood vessels.
- Uterine angioleiomyomas are typically asymptomatic and discovered incidentally.
Observation:
- A 45-year-old woman presented with severe lower abdominal pain.
- During surgery, a ruptured and actively bleeding uterine tumor was identified.
- The patient underwent a total hysterectomy and bilateral salpingo-oophorectomy.
Findings:
- Pathologic examination confirmed the uterine tumor as an angioleiomyoma.
- The clinical presentation of a ruptured and bleeding angioleiomyoma is highly unusual.
- This case underscores a rare manifestation of a benign uterine neoplasm.
Implications:
- This case broadens the clinical spectrum of uterine angioleiomyoma presentations.
- It emphasizes the need for prompt diagnosis and surgical management in cases of suspected ruptured uterine tumors.
- Further research may elucidate the factors contributing to vascular compromise and rupture in uterine angioleiomyomas.
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