Diffuse uterine leiomyomatosis: a case study with pregnancy complicated by intrapartum hemorrhage

Diffuse leiomyomatosis of the uterus is a rarely reported condition which has been implicated as a cause of infertility and menorrhagia. We report the first documented case of pregnancy in the presence of this disorder. The course was complicated by cervical incompetence, spontaneous premature rupture of membranes, delivery by cesarean section, and intrapartum hemorrhage necessitating hysterectomy. The literature is reviewed and the clinical significance of this lesion discussed. Finally, speculations are made on the nature of this disorder.