Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography
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,...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/5364165 |
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| author | Angel Shan Rahana Harjee Patrick McLaughlin Edward C. Jones Mohamed A. Bedaiwy |
| author_facet | Angel Shan Rahana Harjee Patrick McLaughlin Edward C. Jones Mohamed A. Bedaiwy |
| author_sort | Angel Shan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ded9292d3f7d427e8a2ab81fac65fab2 |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-ded9292d3f7d427e8a2ab81fac65fab22025-08-20T02:21:20ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/53641655364165Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed TomographyAngel Shan0Rahana Harjee1Patrick McLaughlin2Edward C. Jones3Mohamed A. Bedaiwy4Department of Obstetrics and Gynecology, Women’s Hospital of British Columbia, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynecology, Women’s Hospital of British Columbia, University of British Columbia, Vancouver, CanadaDepartment of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, CanadaDepartment of Pathology, Vancouver General Hospital, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynecology, Women’s Hospital of British Columbia, University of British Columbia, Vancouver, CanadaBackground. 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.http://dx.doi.org/10.1155/2020/5364165 |
| spellingShingle | Angel Shan Rahana Harjee Patrick McLaughlin Edward C. Jones Mohamed A. Bedaiwy Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography |
| title_full | Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography |
| title_fullStr | Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography |
| title_full_unstemmed | Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography |
| title_short | Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography |
| title_sort | spontaneous rupture of leiomyoma diagnosed preoperatively with noncontrast computed tomography |
| url | http://dx.doi.org/10.1155/2020/5364165 |
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