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Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. A 38-yearold woman presented to the emergency department with acute onset of abdominal pain. The ultrasound revealed multiple fibroids and free fluid in the peritoneum. There was a significant drop of the hemoglobin and hematocrit. The patient underwent emergent exploratory laparoscopy. A subserosal uterine leiomyoma was found, with a bleeding vein on its basis and massive hemoperitoneum. Laparoscopicdoi:10.4236/ojog.2012.22032 fatcat:7fzjvoef2vcfrhrki7mi2rmo6y