Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography
Joint Authors
Shan, Angel
Harjee, Rahana
McLaughlin, Patrick
Jones, Edward C.
Bedaiwy, Mohamed A.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Spontaneous rupture of benign uterine fibroids is extremely rare and has been associated with fibroid degeneration.
It can cause acute intraperitoneal bleeding requiring immediate surgical intervention.
Case.
A previously healthy 50-year-old, Caucasian, nullipara presented with syncope, hemodynamic instability, and an acute abdomen.
Noncontrast computed tomography images showed a positive sentinel clot sign in the pelvis as well as a large uterine fibroid with internal hyperdense clot suggesting acute rupture.
Urgent laparotomy and hysterectomy confirmed a ruptured, actively bleeding, uterine fibroid with final pathological diagnosis of a benign leiomyoma.
Conclusion.
Prompt diagnosis and emergency surgical intervention were necessary to control acute hemorrhage from a ruptured uterine fibroid.
Noncontrast computed tomography is an important adjunct to contrast-enhanced computed tomography and was vital for diagnosis in this case.
American Psychological Association (APA)
Shan, Angel& Harjee, Rahana& McLaughlin, Patrick& Jones, Edward C.& Bedaiwy, Mohamed A.. 2020. Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149131
Modern Language Association (MLA)
Shan, Angel…[et al.]. Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1149131
American Medical Association (AMA)
Shan, Angel& Harjee, Rahana& McLaughlin, Patrick& Jones, Edward C.& Bedaiwy, Mohamed A.. Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149131
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149131