A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report
Uterine leiomyomas, or fibroids, are the most common benign tumours of the female genital tract. Although uterine fibroids are commonly associated with menorrhagia, dysmenorrhea, symptomatic anaemia, urinary or bowel symptoms and infertility, intra-abdominal haemorrhage is an exceedingly rare compli...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539634/ https://www.ncbi.nlm.nih.gov/pubmed/37781450 http://dx.doi.org/10.1016/j.crwh.2023.e00549 |
_version_ | 1785113543771684864 |
---|---|
author | Hosein, Shivon Elias, Sarah Boodram, Lorinda Bahall, Vishal De Barry, Lance |
author_facet | Hosein, Shivon Elias, Sarah Boodram, Lorinda Bahall, Vishal De Barry, Lance |
author_sort | Hosein, Shivon |
collection | PubMed |
description | Uterine leiomyomas, or fibroids, are the most common benign tumours of the female genital tract. Although uterine fibroids are commonly associated with menorrhagia, dysmenorrhea, symptomatic anaemia, urinary or bowel symptoms and infertility, intra-abdominal haemorrhage is an exceedingly rare complication. Often, the diagnosis is poorly recognizable based on the patient's clinical presentation and alternative diagnoses such as ruptured ectopic pregnancy, ruptured ovarian cyst or perforated viscus are frequently considered. Herein, we describe a case of a 50-year-old perimenopausal woman who presented with acute, lower abdominal pain, evolving anaemia, hypovolaemic shock and haemoperitoneum with no discernable source. Emergency exploratory laparotomy confirmed the source of massive haemoperitoneum arising from a ruptured blood vessel supplying a large subserosal uterine leiomyoma and the patient subsequently underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Given the paucity of publications on this clinical entity, the aim of this report is to highlight a rare complication of uterine leiomyomas, its pathophysiological spectrum and its relevance to emergency physicians, general surgeons and gynaecologists. |
format | Online Article Text |
id | pubmed-10539634 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-105396342023-09-30 A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report Hosein, Shivon Elias, Sarah Boodram, Lorinda Bahall, Vishal De Barry, Lance Case Rep Womens Health Article Uterine leiomyomas, or fibroids, are the most common benign tumours of the female genital tract. Although uterine fibroids are commonly associated with menorrhagia, dysmenorrhea, symptomatic anaemia, urinary or bowel symptoms and infertility, intra-abdominal haemorrhage is an exceedingly rare complication. Often, the diagnosis is poorly recognizable based on the patient's clinical presentation and alternative diagnoses such as ruptured ectopic pregnancy, ruptured ovarian cyst or perforated viscus are frequently considered. Herein, we describe a case of a 50-year-old perimenopausal woman who presented with acute, lower abdominal pain, evolving anaemia, hypovolaemic shock and haemoperitoneum with no discernable source. Emergency exploratory laparotomy confirmed the source of massive haemoperitoneum arising from a ruptured blood vessel supplying a large subserosal uterine leiomyoma and the patient subsequently underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Given the paucity of publications on this clinical entity, the aim of this report is to highlight a rare complication of uterine leiomyomas, its pathophysiological spectrum and its relevance to emergency physicians, general surgeons and gynaecologists. Elsevier 2023-09-23 /pmc/articles/PMC10539634/ /pubmed/37781450 http://dx.doi.org/10.1016/j.crwh.2023.e00549 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hosein, Shivon Elias, Sarah Boodram, Lorinda Bahall, Vishal De Barry, Lance A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report |
title | A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report |
title_full | A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report |
title_fullStr | A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report |
title_full_unstemmed | A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report |
title_short | A subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: A case report |
title_sort | subserosal uterine leiomyoma complicated with intra-abdominal haemorrhage: a case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539634/ https://www.ncbi.nlm.nih.gov/pubmed/37781450 http://dx.doi.org/10.1016/j.crwh.2023.e00549 |
work_keys_str_mv | AT hoseinshivon asubserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT eliassarah asubserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT boodramlorinda asubserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT bahallvishal asubserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT debarrylance asubserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT hoseinshivon subserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT eliassarah subserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT boodramlorinda subserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT bahallvishal subserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport AT debarrylance subserosaluterineleiomyomacomplicatedwithintraabdominalhaemorrhageacasereport |