Massive Intraperitoneal Haemorrhage due toUterine Fibroid in Pregnancy: A Case Rerort and Literature Review
Abstract
This is a report of a case of massive intraperitoneal haemorrhage during the third trimester of pregnancy due to rupture of coronary vessels overlying uterine Leiomyoma. Diagnosis was made after exploratory laparotomy. Emergency caesarean section and myomectomy were performed.
The objective of this case report is to highlight diagnostic challenges, aggressive resuscitations, and prompt multi disciplinary interventions of unusually rare case during late pregnancy, and review of literature.
References
1. Cooper MP, Okolo S. Fibroid in pregnancy- common but poorly understood. Obstet Gynecol Sur 2005;60-132
2. Danzer E, Holzgreve W, Batukam C, Miny P. Myomectomy during first trimester. Prenat Diagn 2001;21-848-51
3. Butterly BW. Spontaneous haemoperitoneum complicating uterine fibromyoma. Aust N J Obstet Gynecol 1972; 210-13
4. Greenberg A, Bernardini J, Piraino BM, et al. Hemoperitoneum complicating chronic peritoneal dialysis: single-center experience and literature review. Am J Kidney Dis 1992; 19:252.
5. Syed A, Holley JL, Piraino B. Splenic infarct presenting as sterile peritonitis with peripheral embolic phenomena. Adv Perit Dial 1993; 9:202.
6. Campisi S, Cavatorta F, De Lucia E. Iliopsoas spontaneous hematoma: an unusual cause of hemoperitoneum in CAPD patients. Perit Dial Int 1992; 12:78.
7. Hashimoto K, Tabata C, Uneno Y, Fukoda H, Shimoya K, Murata Y. Spontaneous rupture of uterine surface varicose veins in pregnancy, a case report. J repro Med. 2006 Sep;(9):722-4
8. Ihama y, Miyazaki T, Fuke C. Hemoperitoneum due to rupture of a subserosal vein overlying a uterine Leiomyoma. Am J forensic Med Pathol. 2008 Jun; 29(2):177-80
9. Toquero L, Gadd R, Owers CE, Simms JM. Post-coital haemoperitoneum: a downside to intercourse. Ann R Coll Surg Engl. Jan;94(1)
10. Andrés-Orós MP, Server-de Castro L, Roy-Ramos V, Vela-Lete A. Spontaneous uterine venous rupture during pregnancy. Description of two cases and bibliographical review. Ginecol Obstet Mex. 2010 Feb; 78(2):128-31.
11. Pittion S, Refahi N, Barjot P, Von Theobald P, Dreyfus M. Spontaneous rupture of uterine varices in third trimester. J Gynecol Obstet Biol Reprod (Paris). 2000 Dec;29(8):801-802. French
12. Choudure P K. Intraperitoneal haemorrhage from fibroid in pregnancy. (1961); BMJ, 7 (2):650
13. Hanna W A, Myles JM. Spontaneous intraperitoneal haemorrhage during pregnancy. BMJ April 1964; 1(5389):1024-1026
14. Gupta S, Jose J, Manyonda I, Clinical presentation of fibroids. Best Practice. Clin Obstet Gynaecol. 2008 Aug; 22(4):615-26. Epub 2008 Mar 26.
15. Fontarensky M, Cassagnes L, Bouchet P, Azuar AS, Boyer L, Chabrot P. Acute complications of benign uterine leiomyomas: treatment of intraperitoneal haemorrhage by embolizations of the uterine arteries. Diagn Interv Imaging. 2013 Sep; 94(9):885-90. Epub 2013 Apr 17.
16. Wu CY, Hwang JL, Lin YH, Hsieh BC, Seow KM, Huang LW. Spontaneous hemoperitoneum in pregnancy from a ruptured superficial uterine vessel. Taiwan J Obstet Gynecol. 2007 Mar; 46(1):77-80.
17. Doger E, Cakiroglu Y, Yildirim Kopuk S, Akar B, Caliskan E, Yucesoy G. Case Report. Spontaneous rupture of uterine vein in twin pregnancy. Obstet Gynecol. 2013; 2013:596707. Epub 2013 Dec 19
2. Danzer E, Holzgreve W, Batukam C, Miny P. Myomectomy during first trimester. Prenat Diagn 2001;21-848-51
3. Butterly BW. Spontaneous haemoperitoneum complicating uterine fibromyoma. Aust N J Obstet Gynecol 1972; 210-13
4. Greenberg A, Bernardini J, Piraino BM, et al. Hemoperitoneum complicating chronic peritoneal dialysis: single-center experience and literature review. Am J Kidney Dis 1992; 19:252.
5. Syed A, Holley JL, Piraino B. Splenic infarct presenting as sterile peritonitis with peripheral embolic phenomena. Adv Perit Dial 1993; 9:202.
6. Campisi S, Cavatorta F, De Lucia E. Iliopsoas spontaneous hematoma: an unusual cause of hemoperitoneum in CAPD patients. Perit Dial Int 1992; 12:78.
7. Hashimoto K, Tabata C, Uneno Y, Fukoda H, Shimoya K, Murata Y. Spontaneous rupture of uterine surface varicose veins in pregnancy, a case report. J repro Med. 2006 Sep;(9):722-4
8. Ihama y, Miyazaki T, Fuke C. Hemoperitoneum due to rupture of a subserosal vein overlying a uterine Leiomyoma. Am J forensic Med Pathol. 2008 Jun; 29(2):177-80
9. Toquero L, Gadd R, Owers CE, Simms JM. Post-coital haemoperitoneum: a downside to intercourse. Ann R Coll Surg Engl. Jan;94(1)
10. Andrés-Orós MP, Server-de Castro L, Roy-Ramos V, Vela-Lete A. Spontaneous uterine venous rupture during pregnancy. Description of two cases and bibliographical review. Ginecol Obstet Mex. 2010 Feb; 78(2):128-31.
11. Pittion S, Refahi N, Barjot P, Von Theobald P, Dreyfus M. Spontaneous rupture of uterine varices in third trimester. J Gynecol Obstet Biol Reprod (Paris). 2000 Dec;29(8):801-802. French
12. Choudure P K. Intraperitoneal haemorrhage from fibroid in pregnancy. (1961); BMJ, 7 (2):650
13. Hanna W A, Myles JM. Spontaneous intraperitoneal haemorrhage during pregnancy. BMJ April 1964; 1(5389):1024-1026
14. Gupta S, Jose J, Manyonda I, Clinical presentation of fibroids. Best Practice. Clin Obstet Gynaecol. 2008 Aug; 22(4):615-26. Epub 2008 Mar 26.
15. Fontarensky M, Cassagnes L, Bouchet P, Azuar AS, Boyer L, Chabrot P. Acute complications of benign uterine leiomyomas: treatment of intraperitoneal haemorrhage by embolizations of the uterine arteries. Diagn Interv Imaging. 2013 Sep; 94(9):885-90. Epub 2013 Apr 17.
16. Wu CY, Hwang JL, Lin YH, Hsieh BC, Seow KM, Huang LW. Spontaneous hemoperitoneum in pregnancy from a ruptured superficial uterine vessel. Taiwan J Obstet Gynecol. 2007 Mar; 46(1):77-80.
17. Doger E, Cakiroglu Y, Yildirim Kopuk S, Akar B, Caliskan E, Yucesoy G. Case Report. Spontaneous rupture of uterine vein in twin pregnancy. Obstet Gynecol. 2013; 2013:596707. Epub 2013 Dec 19
Published
2015-06-01
How to Cite
E HUMMEDIA, Moawia.
Massive Intraperitoneal Haemorrhage due toUterine Fibroid in Pregnancy: A Case Rerort and Literature Review.
Gezira Journal of Health Sciences, [S.l.], v. 11, n. 1, june 2015.
ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/382>. Date accessed: 03 june 2026.
Issue
Section
Articles
