Successful laparoscopic management of hemoperitoneum due to spontaneous venous rupture overlying a uterine fibroid

Kyousuke Takeuchi, Makoto Sugimoto, Taro Tsujino, Riichiro Nishino
2012 Open Journal of Obstetrics and Gynecology  
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. Laparoscopic
more » ... . Laparoscopic myomectomy was successfully performed with local injection of vasopressin and intraoperative autologous blood transfusion. This case suggests that spontaneous intraperitoneal haemorrhage associated with uterine fibroids, although rare, should be considered in women with hypovolemic shock and a pelvic mass.
doi:10.4236/ojog.2012.22032 fatcat:7fzjvoef2vcfrhrki7mi2rmo6y