Successful laparoscopic management of hemoperitoneum due to spontaneous venous rupture overlying a uterine fibroid  

作　　者：Kyousuke Takeuchi Makoto Sugimoto Taro Tsujino Riichiro Nishino 

机构地区：[1]Department of Obstetrics and Gynecology, Kobe Medical Center, Kobe, Japan

出　　处：《Open Journal of Obstetrics and Gynecology》2012年第2期164-166,共3页妇产科期刊（英文）

摘　　要：Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. A 38-year-old woman presented to the emergency department with acute onset of abdominal pain. The ultrasound revealed multiple fibroids and free fluid in the peritoneum. There was a significant drop of the hemoglobin and hematocrit. The patient underwent emergent exploratory laparoscopy. A subserosal uterine leiomyoma was found, with a bleeding vein on its basis and massive hemoperitoneum. Laparoscopic myomectomy was successfully performed with local injection of vasopressin and intraoperative autologous blood transfusion. This case suggests that spontaneous intraperitoneal haemorrhage associated with uterine fibroids, although rare, should be considered in women with hypovolemic shock and a pelvic mass.Spontaneous venous rupture overlying a uterine fibroid is a rare cause of hemoperitoneum. A 38-year-old woman presented to the emergency department with acute onset of abdominal pain. The ultrasound revealed multiple fibroids and free fluid in the peritoneum. There was a significant drop of the hemoglobin and hematocrit. The patient underwent emergent exploratory laparoscopy. A subserosal uterine leiomyoma was found, with a bleeding vein on its basis and massive hemoperitoneum. Laparoscopic myomectomy was successfully performed with local injection of vasopressin and intraoperative autologous blood transfusion. This case suggests that spontaneous intraperitoneal haemorrhage associated with uterine fibroids, although rare, should be considered in women with hypovolemic shock and a pelvic mass.

关 键 词：Laparoscopy Uterine FIBROID VENOUS RUPTURE HEMOPERITONEUM Intraoperative AUTOLOGOUS Blood TRANSFUSION 

分 类 号：R73[医药卫生—肿瘤]