Choi Ji Hyun, Liu Hyun Ju, Heo Soo Min, Kim Soo Ah
Department of Obstetrics and Gynecology, Chosun University Hospital, Chosun University School of Medicine, Gwangju, Korea.
J Menopausal Med. 2021 Apr;27(1):42-45. doi: 10.6118/jmm.20037.
Uterine fibroid, or leiomyoma, is a common benign neoplasm in women, but serious complications are rarely reported. We present the case of a 48-year-old woman with acute onset of abdominal pain. She was hemodynamically unstable, and computed tomography revealed abundant fluid collection in the peritoneal cavity, suggesting hemoperitoneum. During emergency exploratory laparotomy, the subserosal vein overlying a uterine fibroid was identified as the source of bleeding. Hemostasis was accomplished with fibroid excision. Spontaneous hemorrhage originating from a uterine fibroid is extremely rare, but may lead to life-threatening conditions. Therefore, in female patients with acute abdominal pain and hemoperitoneum, uterine fibroid may be a potential etiology and emergency exploratory laparotomy should be considered.
子宫肌瘤，又称平滑肌瘤，是女性常见的良性肿瘤，但严重并发症鲜有报道。我们报告一例48岁急性腹痛女性病例。她血流动力学不稳定，计算机断层扫描显示腹腔内有大量积液，提示腹腔积血。在急诊剖腹探查术中，发现子宫肌瘤表面的浆膜下静脉是出血来源。通过切除肌瘤实现了止血。子宫肌瘤自发出血极为罕见，但可能导致危及生命的情况。因此，对于急性腹痛和腹腔积血的女性患者，子宫肌瘤可能是潜在病因，应考虑急诊剖腹探查术。
