Spontaneous hemoperitoneum due to ruptured myoma vessels in a nulliparous woman
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251594Keywords:
Hemoperitoneum, Myoma, Shock, Case reportAbstract
Spontaneous hemoperitoneum due to ruptured myoma vessels is a rare but potentially life-threatening condition. A 37-year-old nulliparous black West-African woman presented in hypovolemic shock with a tender and distended abdomen. During exploratory laparotomy, a large fundal subserosal myoma with an actively bleeding vein was identified yielding 2.2 l of hemoperitoneum for which myomectomy and peritoneal lavage was done. This case underscores the importance of considering spontaneous rupture of myoma vessels as a differential diagnosis of acute abdomen in women with uterine fibroids. Rapid diagnosis and surgical management are essential to prevent morbidity and mortality.
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