A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report

Popovici,Razvan; Pristavu,Anda; Andronic,Dan-Constantin; Zan,Paula; Riey,Benedicte; Mara,Murarasu; Mogos,Raluca; Himiniuc,Loredana Maria; Grigore,Mihaela

doi:10.3892/etm.2021.10804

A rare complication of uterine leiomyomata: Severe haemoperitoneum caused by the rupture of an overlying subserosa variceal vein: A case report

Authors:
- Razvan Popovici
- Anda Pristavu
- Dan-Constantin Andronic
- Paula Zan
- Benedicte Riey
- Murarasu Mara
- Raluca Mogos
- Loredana Maria Himiniuc
- Mihaela Grigore
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Affiliations: Department of Obstetrics and Gynaecology, ‘Grigore T. Popa’, University of Medicine and Pharmacy, 700015 Iasi, Romania, Department of Surgery, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700015 Iasi, Romania, Department of Obstetrics and Gynaecology, ‘Cuza Voda’ Clinical Hospital of Obstetrics and Gynaecology, 700038 Iasi, Romania
Published online on: September 27, 2021 https://doi.org/10.3892/etm.2021.10804
Article Number: 1370

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Abstract

The rupture of a subserosa variceal vein overlying a uterine myoma is a rare complication and a less common cause of gynecologic haemoperitoneum. The literature data are scarce regarding this condition and less than 100 cases have been reported (including those occurring during pregnancy). The present case is of a 48‑year‑old woman, with a history of asymptomatic uterine myoma, who was hospitalised for severe abdominal pain with sudden onset and signs of hypovolemic shock. The emergency conventional imaging exams confirmed the diagnosis of uterine myoma and haemoperitoneum, but did not reveal the source of bleeding. The cause of haemoperitoneum was detected by means of emergency laparotomy. In order to obtain quick hemostasis, in the settings of a rapid deteriorating hypovolemic shock, a supracervical hysterectomy was performed. The aim of the article is to raise awareness to gynecologists regarding this extremely rare life‑threatening complication of the most common benign tumor of the uterus.

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