A case of hemoperitoneum to spontaneous rupture of a vein of uterine myoma.

Kim, Ju Hyun; Lee, Tae Sung; Hong, Seong Yeon

Obstet Gynecol Sci > Volume 51(8); 2008 > Article

Case Report

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.

Keywords: Uterine myoma; Hemoperitoneum; Vein; Hemorrhage