Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma
DOI:
https://doi.org/10.3941/jrcr.v11i3.3054Keywords:
Pedunculated leiomyoma, Hemoperitoneum, Spontaneous avulsion, Leiomyoma, Fibroid, Hypovolemic shockAbstract
Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition.
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Published
2017-03-23
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Section
Obstetric & Gynecologic Radiology
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