Hemoperitoneum is a rare complication of uterine leiomyomas. Increased abdominal pressure during mechanical stress (i.e., trauma, intercourse, or menstruation) may lead to the rupture of superficial veins overlying the leyomioma. A 39-year-old woman presented with intra-abdominal bleeding without any evidence of mechanical stress. The bleeding was caused by a uterine superficial vein overlying a subserosal leiomyoma. After hysterectomy, histopathologic findings revealed diffuse venous ectasia throughout the whole uterus. Diffuse myometrial venous congestion should be considered a possible predisposing factor to spontaneous rupture of the superficial vessel
Massive Hemoperitoneum from Uterine Leiomyoma Associated with Diffuse Myometrial Venous Congestion / Alessandra, Tirelli; Volpe, Annibale; Cagnacci, Angelo. - In: JOURNAL OF GYNECOLOGIC SURGERY. - ISSN 1042-4067. - STAMPA. - 24:2(2008), pp. 79-82. [10.1089/gyn.2008.B-02298-1]
Massive Hemoperitoneum from Uterine Leiomyoma Associated with Diffuse Myometrial Venous Congestion
VOLPE, Annibale;CAGNACCI, Angelo
2008
Abstract
Hemoperitoneum is a rare complication of uterine leiomyomas. Increased abdominal pressure during mechanical stress (i.e., trauma, intercourse, or menstruation) may lead to the rupture of superficial veins overlying the leyomioma. A 39-year-old woman presented with intra-abdominal bleeding without any evidence of mechanical stress. The bleeding was caused by a uterine superficial vein overlying a subserosal leiomyoma. After hysterectomy, histopathologic findings revealed diffuse venous ectasia throughout the whole uterus. Diffuse myometrial venous congestion should be considered a possible predisposing factor to spontaneous rupture of the superficial vesselFile | Dimensione | Formato | |
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