Massive Intraperitoneal Hemorrhage and Hypovolemic Shock due to Rupture of a Coronary Vessel of a Uterine Leiomyoma: A Report of Two Cases

Jun Ichi Akahira, Kiyoshi Ito, Ryuji Nakamura, Akira Yajima

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)

Abstract

Intraperitoneal hemorrhage due to uterine leiomyoma is extremely rare. Recently, we encountered such two cases and herein describe them. Case 1 involved a 34-year-old, nulliparous woman referred to our hospital because of a sudden onset of shock while she was playing a softball game. She had a large abdominal tumor and a hemoperitoneum, and was diagnosed as having a ruptured ovarian tumor. Exploratory laparotomy showed a rupture of the coronary vein of a large uterine leiomyoma. The patient was treated with myomectomy and did well postoperatively. Case 2 involved a 44-year-old, multiparous woman referred to our hospital because of sudden onset of lower abdominal pain while defecating. She had a uterine leiomyoma and a hemoperitoneum, and was diagnosed as having a ruptured splenic artery. Exploratory laparotomy showed rupture of the coronary artery of a uterine leiomyoma. The patient was treated with total abdominal hysterectomy and did well postoperatively. These cases suggest that intraperitoneal hemorrhage associated with uterine leiomyoma, although rare, should be considered in women with hypovolemic shock and a large pelvic mass.

Original languageEnglish
Pages (from-to)217-222
Number of pages6
JournalTohoku Journal of Experimental Medicine
Volume185
Issue number3
DOIs
Publication statusPublished - 1998 Jul

Keywords

  • Hypovolemic shock
  • Intraperitoneal hemorrhage
  • Uterine fibroid
  • Uterine leiomyoma

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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