Document Detail

Massive hemoperitoneum resulting from spontaneous rupture of uterine leiomyoma.
MedLine Citation:
PMID:  18926384     Owner:  NLM     Status:  MEDLINE    
Uterine leiomyomas are very common tumors found in women. Rupture of a uterine leiomyoma is an unusual source of hemoperitoneum. This is a case report of such. A 28-year old woman presented to the emergency department with acute onset of abdominal pain after a bowel movement and who had a history of fibroids. The patient was stable and went for a formal ultrasound, which showed a large fibroid and free fluid in the peritoneum. She had a laparotomy, and an actively bleeding fibroid surface vein was found. The patient required transfusion of 2 U of packed red blood cells, and a myomectomy was performed, with an uneventful postoperative course. Because surgical intervention is the only definitive treatment, emergency physicians should be aware of this rare complication.
Seth Lotterman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  26     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-17     Completed Date:  2009-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  974.e1-2     Citation Subset:  IM    
Department of Emergency Medicine, Wilford Hall Medical Center, 2200 Bergquist Dr, Lackland AFB, San Antonio, TX 78236, USA.
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MeSH Terms
Diagnosis, Differential
Hemoperitoneum / diagnosis,  etiology*,  surgery
Leiomyoma / complications*,  diagnosis,  surgery
Rupture, Spontaneous
Uterine Neoplasms / complications*,  diagnosis,  surgery

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