An unusual case of acute abdomen related to a large pedunculated leiomyoma

Nigel Pereira, Mayes Dormosh, Beth C. Mapow, Dana C. Farabaugh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Uterine leiomyomas have several intermediate histologic variants that are associated with varied clinical presentations. Case: A 26-year-old woman presented with acute onset of left lower quadrant pain after swimming. Radiologic imaging revealed a large pelvic mass attached to the uterus. Exploratory laparotomy revealed a pedunculated uterine mass and hemoperitoneum caused by an avulsed adhesion between the left broad ligament and the mass. Histopathologic evaluation of the excised mass was consistent with a symplastic leiomyoma. Results: The patient was discharged on postoperative day 2 with a hemoglobin level of 9.8g/dL. Postoperative recovery was unremarkable. Conclusions: Symplastic leiomyomas can present with acute peritoneal signs and hemoperitoneum caused by avulsion or rupture. (J GYNECOL SURG 28:355)

Original languageEnglish (US)
Pages (from-to)355-358
Number of pages4
JournalJournal of Gynecologic Surgery
Volume28
Issue number5
DOIs
StatePublished - Oct 1 2012

Fingerprint

Acute Abdomen
Leiomyoma
Hemoperitoneum
Broad Ligament
faropenem medoxomil
Laparotomy
Uterus
Rupture
Hemoglobins
Pain

All Science Journal Classification (ASJC) codes

  • Surgery
  • Obstetrics and Gynecology

Cite this

Pereira, Nigel ; Dormosh, Mayes ; Mapow, Beth C. ; Farabaugh, Dana C. / An unusual case of acute abdomen related to a large pedunculated leiomyoma. In: Journal of Gynecologic Surgery. 2012 ; Vol. 28, No. 5. pp. 355-358.
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An unusual case of acute abdomen related to a large pedunculated leiomyoma. / Pereira, Nigel; Dormosh, Mayes; Mapow, Beth C.; Farabaugh, Dana C.

In: Journal of Gynecologic Surgery, Vol. 28, No. 5, 01.10.2012, p. 355-358.

Research output: Contribution to journalArticle

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AB - Background: Uterine leiomyomas have several intermediate histologic variants that are associated with varied clinical presentations. Case: A 26-year-old woman presented with acute onset of left lower quadrant pain after swimming. Radiologic imaging revealed a large pelvic mass attached to the uterus. Exploratory laparotomy revealed a pedunculated uterine mass and hemoperitoneum caused by an avulsed adhesion between the left broad ligament and the mass. Histopathologic evaluation of the excised mass was consistent with a symplastic leiomyoma. Results: The patient was discharged on postoperative day 2 with a hemoglobin level of 9.8g/dL. Postoperative recovery was unremarkable. Conclusions: Symplastic leiomyomas can present with acute peritoneal signs and hemoperitoneum caused by avulsion or rupture. (J GYNECOL SURG 28:355)

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