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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

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Post-coital haemoperitoneum: a downside to intercourse.

L Toquero¹, R Gadd, C E Owers

¹Chesterfield Royal Hospital, UK.

Annals of the Royal College of Surgeons of England

|April 25, 2012

Summary

A ruptured uterine fibroid caused significant internal bleeding after intercourse in a 43-year-old woman. This rare case highlights the importance of a thorough gynecological history for acute abdominal pain diagnosis.

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Area of Science:

Gynecology
Emergency Medicine
Surgical Pathology

Background:

Uterine fibroids are common benign tumors in women of reproductive age.
Hemorrhage from fibroids, especially secondary to intercourse, is an uncommon presentation.
Acute abdomen requires a comprehensive differential diagnosis.

Observation:

A 43-year-old multiparous female presented with acute abdominal pain.
The patient experienced post-coital bleeding (hemoperitoneum).
A ruptured uterine fibroid was identified as the cause.

Findings:

Ruptured uterine fibroid leading to hemoperitoneum.
Successful diagnosis required detailed gynecological history.
This presentation is rare but clinically significant.

Implications:

Emphasizes the need for thorough gynecological assessment in acute abdominal cases.
Highlights uterine fibroids as a potential cause of severe, unexpected bleeding.
Informs emergency physicians and gynecologists on rare gynecological emergencies.