Painless spontaneous haemoperitoneum secondary to a uterine leiomyoma/fibroid: unusual presentation of a life-threatening differential

This is a case of a 47-year-old woman with a spontaneous haemoperitoneum secondary to uterine leiomyomas (fibroids), an important differential diagnosis in patients with uterine fibroids and hypovolaemic shock. Uterine fibroids are very common in women of reproductive age, yet little is taught about...

Full description

Saved in:
Bibliographic Details
Published inBMJ case reports Vol. 14; no. 10; p. e243465
Main Authors Maduanusi, Chiamaka, Balachandran, Sathiyaa, Sathiyathasan, Sahathevan, Omar, Kazal
Format Journal Article
LanguageEnglish
Published London BMJ Publishing Group LTD 04.10.2021
BMJ Publishing Group
Subjects
Abdomen
Anemia
Antibiotics
Case Report
Case reports
Etiology
Fibroids
Hysterectomy
Laparotomy
Menstruation
Pain
Patients
Pelvis
Surgeons
Surgery
Uterus
Womens health
Online AccessGet full text

Cover

More Information
Summary:This is a case of a 47-year-old woman with a spontaneous haemoperitoneum secondary to uterine leiomyomas (fibroids), an important differential diagnosis in patients with uterine fibroids and hypovolaemic shock. Uterine fibroids are very common in women of reproductive age, yet little is taught about their potential to cause hypovolaemic shock. Although it is a rare complication, given the prevalence of fibroids, it is important to bear this life-threatening differential in mind to optimise the care for these women. Presentation typically involves abdominal pain, syncope, haemodynamic instability and an intra-abdominal mass. CT of the abdomen and pelvis can be helpful in identifying the source of the haemoperitoneum, but should not delay surgery, which is the definitive management.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-243465