Department of Obstetrics and Gynecology, Osaka Medical College, 2-7 Daigakumachi, Takatsuki, Osaka, Japan.
Medicine (Baltimore). 2021 Mar 12;100(10):e24024. doi: 10.1097/MD.0000000000024024.
Uterine fibroids, which are common benign tumors, rarely cause acute complications. We herein report a case of hemoperitoneum associated with uterine fibroid that could be diagnosed preoperatively with contrast-enhanced computerized tomography (CT).
A 48-year-old woman with uterine fibroid developed extremely severe lower abdominal pain on the first day of her menstrual period.
Ultrasonography and contrast-enhanced CT revealed a uterine fibroid and extravasation from the dilated vessels of the uterine fibroid.
Emergent abdominal hysterectomy was performed.
The total amount of bleeding was 4,600 mL. Intraoperative blood salvage (1,357 mL), 6 units of red blood cells, 4 units of fresh frozen plasma, and 20 units of platelet concentrates were transfused. The postoperative course was uneventful. Pathological examination confirmed a benign uterine fibroid.
CT could be useful to determine a diagnosis for bleeding from ruptured subserosal uterine fibroid.
子宫肌瘤是常见的良性肿瘤，很少引起急性并发症。本文报告一例因子宫肌瘤破裂引起的腹腔积血，术前可通过增强 CT 诊断。
一名 48 岁妇女患有子宫肌瘤，在月经第一天出现剧烈下腹痛。
超声和增强 CT 显示子宫肌瘤和子宫肌瘤扩张血管的外渗。
紧急行剖腹子宫切除术。
总出血量为 4600ml。术中回收血 1357ml，输注红细胞 6 单位、新鲜冷冻血浆 4 单位和血小板浓缩物 20 单位。术后恢复顺利。病理检查证实为良性子宫肌瘤。
CT 有助于诊断破裂的子宫肌瘤的出血。
