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CC BY-NC-ND 4.0 · Avicenna J Med 2013; 03(03): 81-83
DOI: 10.4103/2231-0770.118465
CASE REPORT

Uterine leiomyoma with spontaneous intraleiomyoma hemorrhage, perforation, and hemoperitoneum in postmenopausal woman: Computed tomography diagnosis

Sultan R Alharbi
Department of Radiology and Medical Imaging, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
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Abstract

Spontaneous intraleiomyoma hemorrhage, perforation, and hemoperitoneum are very rare complications of uterine leiomyoma. We report a case of postmenopausal woman who presented with acute abdomen found to have intraleiomyoma hemorrhage, perforation, and hemoperitoneum. Our case also illustrates the computed tomography findings of such complications of uterine leiomyoma.

Keywords

Fibroids - hemoperitoneum - intraleiomyoma hemorrhage - perforation - postmenopausal woman


Publication History

Article published online:
09 August 2021

© 2013. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Roche O, Chavan N, Aquilina J, Rockall A. Radiological appearances of gynaecological emergencies. Insights Imaging 2012;3:265-75.
  • 2 Sue W, Scott-Barrett S. Radiological appearances of uterine fibroids Indian J Radiol Imaging 2009;19:222-31.
  • 3 Lotterman S. Massive hemoperitoneum resulting from spontaneous rupture of uterine leiomyoma. Am J Emerg Med 2008;26:974.e1-2.
  • 4 Manopunya M, Tongprasert F, Sukpan K, Tongsong T. Intra-leiomyoma massive hemorrhage after delivery. J Obstet Gynaecol Res 2013;39:355-8.
  • 5 Dasari P, Maurya DK. Hemoperitoneum associated with fibroid uterus. J Obstet Gynecol India 2005;55:553-4.
  • 6 Kamat NV, Telkar HB, Ramani SK, Thakker AP. Ruptured degenerated uterine fibroid diagnosed by imaging. Obstet Gynecol 2001;98:961-3.
  • 7 Bennett GL, Slywotzky CM, Giovanniello G. Gynecologic causes of acute pelvic pain: Spectrum of CT findings. Radiographics 2002;22:785-801.
  • 8 Browne RF, McCann J, Johnston C, Molloy M, O′Connor H, McEniff N. Emergency selective arterial embolization for control of life-threatening hemorrhage from uterine fibroids. AJR Am J Roentgenol 2004;183:1025-8.