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Popovici R, Pristavu A, Andronic DC, Zan P, Riey B, Mara M, Mogos R, Himiniuc LM, Grigore M. A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report. Exp Ther Med 2021; 22:1370. [PMID: 34659516 DOI: 10.3892/etm.2021.10804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 07/08/2021] [Indexed: 11/05/2022] Open
Abstract
The rupture of a subserosa variceal vein overlying a uterine myoma is a rare complication and a less common cause of gynecologic haemoperitoneum. The literature data are scarce regarding this condition and less than 100 cases have been reported (including those occurring during pregnancy). The present case is of a 48-year-old woman, with a history of asymptomatic uterine myoma, who was hospitalised for severe abdominal pain with sudden onset and signs of hypovolemic shock. The emergency conventional imaging exams confirmed the diagnosis of uterine myoma and haemoperitoneum, but did not reveal the source of bleeding. The cause of haemoperitoneum was detected by means of emergency laparotomy. In order to obtain quick hemostasis, in the settings of a rapid deteriorating hypovolemic shock, a supracervical hysterectomy was performed. The aim of the article is to raise awareness to gynecologists regarding this extremely rare life-threatening complication of the most common benign tumor of the uterus.
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Affiliation(s)
- Razvan Popovici
- Department of Obstetrics and Gynaecology, 'Grigore T. Popa', University of Medicine and Pharmacy, 700015 Iasi, Romania.,Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Anda Pristavu
- Department of Obstetrics and Gynaecology, 'Grigore T. Popa', University of Medicine and Pharmacy, 700015 Iasi, Romania.,Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Dan-Constantin Andronic
- Department of Surgery, 'Grigore T. Popa' University of Medicine and Pharmacy, 700015 Iasi, Romania
| | - Paula Zan
- Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Benedicte Riey
- Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Murarasu Mara
- Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Raluca Mogos
- Department of Obstetrics and Gynaecology, 'Grigore T. Popa', University of Medicine and Pharmacy, 700015 Iasi, Romania.,Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Loredana Maria Himiniuc
- Department of Obstetrics and Gynaecology, 'Grigore T. Popa', University of Medicine and Pharmacy, 700015 Iasi, Romania.,Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
| | - Mihaela Grigore
- Department of Obstetrics and Gynaecology, 'Grigore T. Popa', University of Medicine and Pharmacy, 700015 Iasi, Romania.,Department of Obstetrics and Gynaecology, 'Cuza Voda' Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
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