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  • Title: Acute hemorrhage related to spontaneous rupture of an uterine fibroid: a rare case report.
    Author: Bastu E, Akhan SE, Ozsurmeli M, Galandarov R, Sozen H, Gungor-Ugurlucan F, Iyibozkurt AC.
    Journal: Eur J Gynaecol Oncol; 2013; 34(3):271-2. PubMed ID: 23967563.
    Abstract:
    The authors present smooth muscle tumors of uncertain malignant potential (STUMP) diagnosis and surgical management of a spontaneously-ruptured degenerated uterine fibroids. A 48-year-old nulliparous presented with a two-day history of abdominal pain, bloating, constipation, and menorrhagia. Within eight hours, her distress level increased. Computed tomography (CT) scanning of the abdomen showed a large, 31 x 25 cm solid-cystic lesion. An emergency laparotomy was indicated. Surgery revealed approximately 2,000 cc of blood and a 30 cm degenerated uterine fibroid with a fundal rupture, cystic, and solid components extending to the lower pole of the liver. Pathology results noted mild nuclear atypia, six mitoses per ten high-power fields (hpf) and necrosis spread that was not coagulative with a STUMP diagnosis. STUMP presents a problematic group of uterine smooth muscle tumors for any clinician. In addition, STUMP can rarely cause acute complications like a rupture. Therefore, prompt diagnosis and effective management are important.
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