Abstract
Rupture of veins on the surface of sub-serous uterine fibroid is an uncommon cause of hemo-peritoneum. It is usually a silent and serious life threatening gynaecological emergency. We report a case of severe intra-abdominal bleeding secondary to rupture of veins on the surface of subserous fibroid. There was more than two litres of hemoperitoneum with active bleeding from the surface vein of sub-serous fibroid. Total abdominal hysterectomy was done. She received 5 units of fresh blood transfusion The postoperative period was uneventful. A differential diagnosis of rupture of surface vessel of uterine fibroid must be kept, while dealing with a case of hemoperitoneum with pelvic mass.
Highlights
Uterine fibroid is a frequently seen benign tumour in women of reproductive age group
Bleeding from the surface of uterine fibroid is a rare cause of hemoperitoneum.[1]
Fibroid of the uterus is the commonest benign tumour seen in women of reproductive age.[1]
Summary
Uterine fibroid is a frequently seen benign tumour in women of reproductive age group. Sub-serous fibroids are relatively asymptomatic unless they are moderate to large in size. They are mainly responsible for pressure symptoms. Bleeding from the surface of uterine fibroid is a rare cause of hemoperitoneum.[1]. In most cases, bleeding is a result of trauma or torsion. Spontaneous rupture of a superficial vein of fibroid is extremely r are.[2]. Fewer than 100 cases have been reported.[3]
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