Hemoperitoneum associated with uterine fibroids: A case report
Atsushi Daimon1, Tomohito Tanaka, Yuhei Kogata
1Department of Obstetrics and Gynecology, Osaka Medical College, 2-7 Daigakumachi, Takatsuki, Osaka, Japan.
Introduction:
Uterine fibroids, which are common benign tumors, rarely cause acute complications. We herein report a case of hemoperitoneum associated with uterine fibroid that could be diagnosed preoperatively with contrast-enhanced computerized tomography (CT).
Patient Concerns:
A 48-year-old woman with uterine fibroid developed extremely severe lower abdominal pain on the first day of her menstrual period.
Diagnosis:
Ultrasonography and contrast-enhanced CT revealed a uterine fibroid and extravasation from the dilated vessels of the uterine fibroid.
Intervention:
Emergent abdominal hysterectomy was performed.
Outcomes:
The total amount of bleeding was 4,600 mL. Intraoperative blood salvage (1,357 mL), 6 units of red blood cells, 4 units of fresh frozen plasma, and 20 units of platelet concentrates were transfused. The postoperative course was uneventful. Pathological examination confirmed a benign uterine fibroid.
Conclusion:
CT could be useful to determine a diagnosis for bleeding from ruptured subserosal uterine fibroid.
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