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

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

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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
Publication statusPublished - Oct 1 2012

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Obstetrics and Gynecology

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