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...

Descripción completa

Detalles Bibliográficos
Autores principales: Hosein, Shivon, Elias, Sarah, Boodram, Lorinda, Bahall, Vishal, De Barry, Lance
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