Journal of Clinical and Biomedical Sciences
Year: 2019, Volume: 9, Issue: 1, Pages: 23-24
Case Report
Sneha Singh1*, Munikrishna.M2, Sheela S.R3
1. Post Graduate, Department of Obstetrics and Gynaecology, Sri Devaraj Urs Medical College, Kolar.
2. Unit head, Department of Obstetrics and Gynaecology, Sri Devaraj Urs Medical College, Kolar. 3. Head of The Department, Department of Obstetrics and Gynaecology, Sri Devaraj Urs Medical College, Kolar.
*Corresponding Author
E-mail: [email protected]
Mobile No : 7772883532
Hemoperitoneum due to rupture of veins on the surface of uterine leiomyoma leading to hypovolemic shock is extremely uncommon .Only 100 cases have been reported in the past and it is a life threatening emergency. Here we re-port a case of massive intraperitoneal haemorrhage due to rupture of vessels on the surface leiomyoma. Diagnosis was made by ultrasound guided ascitic tap which revealed hemoperitoneum. The patient underwent emergency laparotomy and abdominal hysterectomy. Surgery revealed 3.8L of hemoperitoneum and engorged and tortuous surface veins over the uterine fibroid with active bleeding. Pathology was consistent with intraoperative findings. She required transfusion of numerous blood products perioperatively. Her postoperative course was uncomplicated. Hence differential diagnosis of rupture of surface vessel of leiomyoma as a cause of hemoperitoneum should be considered, when there is no history trau-ma, ruptured ectopic or other findings.
Keywords – Leiomyoma, Hemoperitoneum, Laparotomy
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