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[Myoma with an intra-abdominal bleeding].
Cecilie Jespersen1, Kristine Juul Hare
1cjes0014@regionh.dk.
Ugeskrift for Laeger
|October 18, 2018
Summary
A rare case of spontaneous bleeding from uterine fibroids (leiomyomas) occurred in a woman with acute abdominal pain. Emergency surgery successfully removed the fibroids, resolving the life-threatening hemorrhage.
Area of Science:
- Gynecology
- Surgical Case Reports
Background:
- Uterine fibroids (leiomyomas) are common benign tumors.
- Hemorrhage from leiomyomas is a rare but serious complication.
Observation:
- A 37-year-old woman presented with acute abdominal pain.
- Imaging revealed a pelvic tumor and hemoperitoneum, with bleeding site not initially identified.
- Laparoscopy confirmed active venous bleeding from subserosal leiomyomas.
Findings:
- Emergency myomectomy was performed to control bleeding.
- 588 grams of benign leiomyoma tissue were removed.
- The patient recovered successfully after the procedure.
Implications:
- This case highlights the potential for rare, life-threatening complications from uterine fibroids.
- Prompt diagnosis and surgical intervention are crucial for managing leiomyoma-related hemorrhage.
- Highlights the importance of considering leiomyoma rupture in cases of acute abdominal pain with hemoperitoneum.
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