Successful laparoscopic management of hemoperitoneum due to spontaneous venous rupture overlying a uterine fibroidReportar como inadecuado




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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.

KEYWORDS

Laparoscopy; Uterine Fibroid; Venous Rupture; Hemoperitoneum; Intraoperative Autologous Blood Transfusion

Cite this paper

Takeuchi, K. , Sugimoto, M. , Tsujino, T. and Nishino, R. 2012 Successful laparoscopic management of hemoperitoneum due to spontaneous venous rupture overlying a uterine fibroid. Open Journal of Obstetrics and Gynecology, 2, 164-166. doi: 10.4236-ojog.2012.22032.





Autor: Kyousuke Takeuchi, Makoto Sugimoto, Taro Tsujino, Riichiro Nishino

Fuente: http://www.scirp.org/



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