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  • Title: Hemoperitoneum due to bleeding from a vein overlying a subserous uterine myoma: a case report.
    Author: Rokhgireh S, Kashi AM, Kermansaravi M, Tajbakhsh B, Allahqoli L, Alkatout I, Khodaverdi S.
    Journal: J Med Case Rep; 2020 May 08; 14(1):55. PubMed ID: 32384913.
    Abstract:
    BACKGROUND: Fibroids are the most common pelvic tumors in women; serious complications are rare but can be life-threatening. CASE PRESENTATION: We present a case report of a 38-year-old Persian woman with acute abdominal pain and a history of uterine fibroids. The patient refused to undergo a laparoscopic myomectomy. Her ultrasound examination revealed free fluid in the abdominal cavity, and her vital signs were indicative of vasogenic shock. A diagnostic laparoscopy was performed to identify and control the source of bleeding: 400 ml of blood and blood clots were removed. Active bleeding was seen from a vein overlying a subserosal myoma. A laparotomic myomectomy was performed, and the patient was discharged 3 days after surgery with no complications. CONCLUSION: Surgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma.
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