Rare complication of fibroids in pregnancy: Spontaneous fibroid rupture

Alim Swarray-Deen, Shirley A. Mensah-Brown, Jerry Coleman

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Uterine fibroids in pregnancy present with numerous complications. However, spontaneous rupture is a rare and potentially life-threatening event. We report a case of a 43-year-old multiparous woman who presented with hypovolemic shock secondary to a ruptured uterine fibroid 2 days after a spontaneous vaginal delivery. Emergency laparotomy confirmed massive intra-abdominal hemorrhage from the ruptured capsule of a 10-cm subserosal fibroid. A myomectomy was performed. Her postoperative recovery period was uneventful. This case is very rare, with fewer than 30 cases of hemoperitoneum secondary to rupture of fibroids having been reported in published works. It demonstrates how a benign and common condition, such as fibroids, can lead to an obstetric emergency that mimics a surgical abdomen requiring swift diagnosis and surgical intervention.

Original languageEnglish
Pages (from-to)1485-1488
Number of pages4
JournalJournal of Obstetrics and Gynaecology Research
Volume43
Issue number9
DOIs
Publication statusPublished - Sep 2017
Externally publishedYes

Keywords

  • intra-abdominal hemoperitoneum
  • leiomyoma
  • post-partum
  • pregnancy
  • spontaneous fibroid rupture

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