Document Detail


Diffuse uterine leiomyomatosis with uterine rupture and benign metastatic lesions of the bone.
MedLine Citation:
PMID:  17267884     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We report a case of diffuse uterine leiomyomatosis in pregnancy complicated by uterine rupture and dissemination to the bone. CASE: A 35-year-old nulliparous woman with a history of uterine leiomyoma presented at term with fetal demise. Failed induction of labor and hemodynamic instability due to uterine rupture resulted in a cesarean hysterectomy. A free-air series performed postoperatively to confirm paralytic ileus revealed multiple lytic bone lesions. The diagnosis of diffuse uterine leiomyomatosis with metastasis was made on histology of the resected uterus and fine-needle aspiration biopsy of the bone. She was managed conservatively, and the lesions are now regressing. CONCLUSION: Diffuse uterine leiomyomatosis should be considered in pregnant women with a history of uterine fibroids and peripartum hemorrhage.
Authors:
Earlando O Thomas; Jeffrey Gordon; Sharon Smith-Thomas; Stewart F Cramer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  109     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-01     Completed Date:  2007-02-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  528-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Rochester General Hospital, Rochester, New York 14621, USA. ethomas3@rochester.rr.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Bone Neoplasms / diagnosis*,  secondary
Cesarean Section
Diagnosis, Differential
Female
Fetal Death*
Humans
Hysterectomy
Leiomyomatosis / diagnosis*,  pathology
Neoplasm Metastasis
Pregnancy
Pregnancy Complications, Neoplastic / diagnosis*,  pathology
Pregnancy Trimester, First
Prenatal Diagnosis*
Tomography, X-Ray Computed
Uterine Neoplasms / diagnosis*,  pathology
Uterine Rupture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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