Hypovolemic shock and hemoperitoneum from spontaneous avulsion of a large pedunculated uterine leiomyoma

Authors

Daniel J. Mizrahi, Thomas Jefferson UniversityFollow
Chhavi Kaushik, Thomas Jefferson UniversityFollow
Robert Adamo, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

3-2017

Comments

This article has been peer reviewed. It is the author’s final published version in Journal of Radiology Case Reports

Volume 11, Issue 3, March 2017, Pages 15-21.

The published version is available at DOI: 10.3941/jrcr.v11i3.3054. Copyright © EduRad

Abstract

Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition. © 2017, EduRad. All rights reserved.

Recommended Citation

Mizrahi, Daniel J.; Kaushik, Chhavi; and Adamo, Robert, "Hypovolemic shock and hemoperitoneum from spontaneous avulsion of a large pedunculated uterine leiomyoma" (2017). Department of Radiology Faculty Papers. Paper 45.
https://jdc.jefferson.edu/radiologyfp/45

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.