Hemoperitoneum Secondary to Arterial Rupture of Subserosal Uterine Leiomyoma

Pankaj Aggarwal BS¹; Violetta Lozovyy, MD²

¹St. George’s University School of Medicine, Grenada, West Indies, USA; ²Department of Obstetrics and Gynecology, NYU Lutheran Medical Center, Brooklyn, NY, USA

*Corresponding author: Violetta Lozovyy, MD. Department of Obstetrics and Gynecology, NYU Lutheran Medical Center, Brooklyn, NY, USA. E-mail:VLozovyy@hotmail.com

Published: September 16, 2017.  doi: 10.21103/Article7(3)_CR1


Uterine leiomyomatas (ULs) affect up to 80% of women during their reproductive years. Though relatively benign, they can have life-threatening complications. This case report presents a 50-year-old, postmenopausal female who presented with severe abdominal pain secondary to massive hemoperitoneum. Upon exploratory laparotomy, a large, pulsing artery was seen on the uterus, consistent with a ruptured subserosal uterine fibroid. This case offers unique insight into the presentation and management of this surgical emergency.

uterine fibroid ● menorrhagia ● hemoperitoneum ● emergency

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International Journal of Biomedicine. 2017;7(3):254-256. ©2017 International Medical Research and Development Corporation. All rights reserved