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  • Title: Hypovolemic shock due to massive edema of a pedunculated uterine myoma after delivery.
    Author: Koide K, Sekizawa A, Nakamura M, Matsuoka R, Okai T.
    Journal: J Obstet Gynaecol Res; 2009 Aug; 35(4):794-6. PubMed ID: 19751345.
    Abstract:
    Although most patients with uterine myomas are asymptomatic during pregnancy, profound enlargement of a pedunculated myoma has serious consequences. In the present case, gradual enlargement of a pedunculated myoma was observed throughout a woman's pregnancy, worsening after delivery and causing hypovolemic shock, without evidence of external or intra-abdominal hemorrhage. Laparotomy revealed a severely edematous myoma containing a large amount of blood. It is speculated that partial occlusion had obstructed venous return, but not arterial blood flow, which caused rapid enlargement of the myoma.
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