A Case of Hemoperitoneum from A Spontaneous Venous Rupture Overlying Uterine Leiomyoma.

Kang, So Yeon; Kwon, Ji Young; Lee, Elena; Kim, Chan Joo

doi:2012.55.7.526

Obstet Gynecol Sci > Volume 55(7); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(7):526-529.
DOI: https://doi.org/10.5468/KJOG.2012.55.7.526 Published online July 13, 2012.

A Case of Hemoperitoneum from A Spontaneous Venous Rupture Overlying Uterine Leiomyoma.

So Yeon Kang, Ji Young Kwon, Elena Lee, Chan Joo Kim

Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea. jiyoungk@catholic.ac.kr

Abstract

Uterine leiomyoma is the most common benign tumor of the uterus found in reproductive-aged women, however, rupture of blood vessel overlying a uterine myoma is extremely rare. In this case, we described a case of the spontaneous bleeding of superficial vessels overlying a 3x4 cm sized subserosal myoma in a woman with low abdominal pain. Spontaneous rupture of a superficial vessel of leiomyoma can cause acute abdominal pain and hemoperitoneum. Although this is a very rare complication of uterine leiomyoma, considering of the high prevalence of uterine myoma, we should keep in mind this complication in work-up of patient with hemoperitoneum.

Key Words: Leiomyoma, Rupture, Superficial vessel, Hemoperitoneum