Hemoperitoneum associated with uterine fibroids: A case report.

INTRODUCTION

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).

PATIENT CONCERNS

A 48-year-old woman with uterine fibroid developed extremely severe lower abdominal pain on the first day of her menstrual period.

DIAGNOSIS

Ultrasonography and contrast-enhanced CT revealed a uterine fibroid and extravasation from the dilated vessels of the uterine fibroid.

INTERVENTION

Emergent abdominal hysterectomy was performed.

OUTCOMES

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.

CONCLUSION

CT could be useful to determine a diagnosis for bleeding from ruptured subserosal uterine fibroid.