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

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 vessel
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11390/1105860
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