Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids.

Autor: Takaki, Erika, Goto, Mayako, Hori, Kensuke, Ito, Kimihiko
Zdroj: BMJ Case Reports; May2021, Vol. 14 Issue 5, p1-4, 4p
Abstrakt: Intra-abdominal bleeding due to uterine fibroids is extremely rare, and preoperative diagnosis is difficult. Herein, we report a case of preoperatively diagnosed hypovolaemic shock due to intra-abdominal haemorrhage, in which fatal sequelae were prevented. A 46-year-old non-pregnant woman was brought to the hospital with a sudden-onset lower abdominal pain. On admission, she was in shock, and abdominal CT showed severe intra-abdominal haemorrhage. Since bleeding from uterine fibroids was suspected, an emergency simple total hysterectomy was performed, and her condition became stable after the operation. Intra-abdominal haemorrhage with hypovolaemic shock requires prompt surgical intervention. Although it occurs very rarely due to bleeding from uterine fibroids, imaging shows large fibroids; if the patient is not pregnant, bleeding from the fibroids should be considered. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index