Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman

Jenayah, Amel Achour; Saoudi, Sarah; Sferi, Nour; Skander, Rim; Marzouk, S. Ben; Cherni, Abdallah; Sfar, E.; Chelli, D.; Boudaya, Fethia

doi:10.11604/pamj.2017.28.205.12135

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…The current case is of a premenopausal patient of low parity (1P), with a positive history of uterine myoma, without any predisposing and precipitating factors. Jenayah et al mentioned that myomas >10 cm have an increased risk for subserosal variceal development (6). In our case the maximum size of the tumor was 9.5 cm, close below the limit.…”

Section: Discussionsupporting

confidence: 50%

“…Performing an Embase, Scopus, and PubMed search, the number of reported cases was identified at approximately less than 100, including those occurring during pregnancy. Saidi et al reported 50 cases before 1961 (3), Akahira et al reported 7 cases between 1961 and 1997 (4), Jain et al reported no more than 7 cases from 1994 to 2004 (5), and 9 cases were revealed by the search of the present authors between 2005 and 2020 (2,(6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 49%

“…Therapeutic laparoscopic approach has not described in any case report, thus far. Some authors recommend an exploratory laparoscopy in cases of acute abdomen with uncertain etiology (6). In young patients, the preservation of fertility is the main objective, but it may not be achieved in all cases (4).…”

Section: Discussionmentioning

confidence: 99%

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A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report

et al. 2021

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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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Section: Discussionsupporting

confidence: 50%

Section: Introductionmentioning

confidence: 49%

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A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report

et al. 2021

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Safety of Uterine Artery Embolization for Subserosal Pedunculated Fibroids: Sufficient Data or More Studies Are Needed?

Salazar

Kohi

2022

Journal of Vascular and Interventional Radiology

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Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids

et al. 2021

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Intra-abdominal bleeding due to uterine fibroids is extremely rare, and preoperative diagnosis is difficult. Herein, we report a case of preoperatively diagnosed hypovolaemic shock due to intra-abdominal haemorrhage, in which fatal sequelae were prevented. A 46-year-old non-pregnant woman was brought to the hospital with a sudden-onset lower abdominal pain. On admission, she was in shock, and abdominal CT showed severe intra-abdominal haemorrhage. Since bleeding from uterine fibroids was suspected, an emergency simple total hysterectomy was performed, and her condition became stable after the operation. Intra-abdominal haemorrhage with hypovolaemic shock requires prompt surgical intervention. Although it occurs very rarely due to bleeding from uterine fibroids, imaging shows large fibroids; if the patient is not pregnant, bleeding from the fibroids should be considered.

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Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman

Cited by 4 publications

References 5 publications

A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report

A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report

Safety of Uterine Artery Embolization for Subserosal Pedunculated Fibroids: Sufficient Data or More Studies Are Needed?

Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids

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