Haemoperitoneum from spontaneous bleeding of a uterine leiomyoma

Abstract

Bleeding from a uterine leiomyoma is a rare cause of haemoperitoneum Spontaneous rupture of a superficial vein is extremely rare. Fewer than 100 cases have been reported. We report a case of a massive intraperitoneal bleed and hypovolaemia in a 40 year old woman known to have uterine leiomyomata. Hypovolaemic shock was due to bleeding from the superficial vessels of a leiomyoma and was treated by myomectomy.

Keywords: uterine leiyomyoma, haemoperitoneum, hypovolaemia

Obstetrics and Gynaecology Forum Vol. 16(4) 2006: 133-134