Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma
| Autor: | Robert D. Adamo, Daniel J. Mizrahi, Chhavi Kaushik |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Abdominal pain Resuscitation medicine.medical_specialty Hypovolemia Uterus 030218 nuclear medicine & medical imaging Avulsion 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Hemoperitoneum Ligation 030219 obstetrics & reproductive medicine Uterine leiomyoma Leiomyoma Rupture Spontaneous business.industry medicine.disease Surgery medicine.anatomical_structure Obstetric & Gynecologic Radiology Shock (circulatory) Uterine Neoplasms Female medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Journal of Radiology Case Reports. 11 |
| ISSN: | 1943-0922 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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