Journal List > Korean J Obstet Gynecol > v.55(7) > 1088486

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Kang, Kwon, Lee, and Kim: A Case of Hemoperitoneum from A Spontaneous Venous Rupture Overlying Uterine Leiomyoma
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(7): 526-529.

Published online: 13 July 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.7.526

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

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

Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea.

Corresponding author: Ji Young Kwon, MD. Department of Obstetrics and Gynecology, St. Paul's Hospital, 180 Wangsan-ro, Dongdaemun-gu, Seoul 130-709, Korea. Tel: +82-2-958-2128, Fax: +82-2-957-9916, jiyoungk@catholic.ac.kr

Received 7 February 2012       Revised 30 April 2012       Accepted 15 May 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 3×4 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.

Keywords: Leiomyoma, Rupture, Superficial vessel, Hemoperitoneum

Figures and Tables

Fig. 1
Pelvic computer tomographic image shows subserosal myoma with 3×4 cm in diameter and moderate amount of fluid collection in cul de sac.
kjog-55-526-g001
Fig. 2
During surgery, a bleeding superficial vein was noted, located on the surface of subserosal myoma (A) and 300 mL of blood were drained from the pelvic cavity (B).
kjog-55-526-g002

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