Abstract
BackgroundFibroids are the most common pelvic tumors in women; serious complications are rare but can be life-threatening.Case presentationWe present a case report of a 38-year-old Persian woman with acute abdominal pain and a history of uterine fibroids. The patient refused to undergo a laparoscopic myomectomy. Her ultrasound examination revealed free fluid in the abdominal cavity, and her vital signs were indicative of vasogenic shock. A diagnostic laparoscopy was performed to identify and control the source of bleeding: 400 ml of blood and blood clots were removed. Active bleeding was seen from a vein overlying a subserosal myoma. A laparotomic myomectomy was performed, and the patient was discharged 3 days after surgery with no complications.ConclusionSurgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma.
Highlights
Fibroids are the most common pelvic tumors in women; serious complications are rare but can be life-threatening.Case presentation: We present a case report of a 38-year-old Persian woman with acute abdominal pain and a history of uterine fibroids
Surgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma
We present a case of intraperitoneal hemorrhage due to a ruptured vein of a subserosal leiomyoma
Summary
Fibroids are the most common pelvic tumors in women; serious complications are rare but can be life-threatening.Case presentation: We present a case report of a 38-year-old Persian woman with acute abdominal pain and a history of uterine fibroids. Conclusion: Surgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma. Germany Full list of author information is available at the end of the article interdisciplinary differential diagnosis, because they may cause severe morbidity and even mortality. We present a case of intraperitoneal hemorrhage due to a ruptured vein of a subserosal leiomyoma.
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