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Updated: Jun 6, 2026
04:08
Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
Published on: June 27, 2025
Hemoperitoneum caused by a bleeding myoma in pregnancy
1Human Reproduction Unit, University Department of Obstetrics and Gynecology, Zagreb University Hospital Center, Zagreb, Croatia. mkasum@gmail.com
Acta Clinica Croatica
|November 20, 2010
Summary
A rare case of uterine fibroid bleeding during pregnancy required emergency surgery. Myomectomy was successfully performed, allowing the woman to deliver a healthy baby, highlighting its potential in select cases.
Area of Science:
- Obstetrics and Gynecology
- Surgical Management of Pregnancy Complications
Background:
- Uterine myomas (fibroids) affect 0.3-2.6% of pregnancies.
- While often asymptomatic, fibroids can complicate pregnancy, with conservative management typically preferred.
Observation:
- A 37-year-old pregnant woman presented with acute abdominal pain and signs of shock at 15 weeks gestation.
- Exploratory laparotomy revealed massive hemoperitoneum caused by a ruptured, bleeding subserous uterine leiomyoma.
Findings:
- Emergency myomectomy was successfully performed, evacuating 1.5 liters of blood and clots.
- Histology confirmed a bleeding and necrotic uterine leiomyoma.
Implications:
- This case demonstrates that myomectomy can be a viable option during pregnancy in selected emergency situations.
- Successful intra-abdominal hemorrhage management via myomectomy during pregnancy supports its consideration in specific clinical scenarios.
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