Hemoperitoneum associated with uterine fibroids

摘要

INTRODUCTION:Uterine fibroids, which are common benign tumors, rarely cause acute complications. We herein report a case of hemoperitoneum associated with uterine fibroid that could be diagnosed preoperatively with contrast-enhanced computerized tomography (CT).PATIENT CONCERNS:A 48-year-old woman with uterine fibroid developed extremely severe lower abdominal pain on the first day of her menstrual period.DIAGNOSIS:Ultrasonography and contrast-enhanced CT revealed a uterine fibroid and extravasation from the dilated vessels of the uterine fibroid.INTERVENTION:Emergent abdominal hysterectomy was performed.OUTCOMES:The total amount of bleeding was 4,600?mL. Intraoperative blood salvage (1,357?mL), 6 units of red blood cells, 4 units of fresh frozen plasma, and 20 units of platelet concentrates were transfused. The postoperative course was uneventful. Pathological examination confirmed a benign uterine fibroid.CONCLUSION:CT could be useful to determine a diagnosis for bleeding from ruptured subserosal uterine fibroid.Copyright ? 2021 the Author(s). Published by Wolters Kluwer Health, Inc.