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Korean Journal of Obstetrics & Gynecology 2008;51(8):920-923.
Published online August 1, 2008.
A case of hemoperitoneum to spontaneous rupture of a vein of uterine myoma.
Ju Hyun Kim, Tae Sung Lee, Seong Yeon Hong
Department of Obstetrics and Gynecology, School of Medicine, Catholic University of Daegu, Daegu, Korea. magu815@cu.ac.kr
Abstract
Uterine leiomyoma is a common benign tumor in reproductive age women. Leiomyoma can cause acute abdominal pain through red degeneration, infection or torsion. Hemoperitoneum secondary to the rupture of superficial vein of a myoma is rare, and is difficult to diagnose preoperatively. Because this condition may be life threatening, prompt surgical treatment is mandatory. The possibility of the venous rupture overlying a uterine myoma should be kept in mind in a patient with acute abdomen and hypovolemic shock, especially if the patient had negative pregnancy test and clinically apparent or known myoma.
Key Words: Uterine myoma, Hemoperitoneum, Vein, Hemorrhage


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