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research
Hypovolemic shock and hemoperitoneum from spontaneous avulsion of a large pedunculated uterine leiomyoma
Authors
Robert Adamo
Chhavi Kaushik
Daniel J. Mizrahi
Publication date
1 March 2017
Publisher
Jefferson Digital Commons
Doi
Cite
Abstract
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. © 2017, EduRad. All rights reserved
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oai:jdc.jefferson.edu:radiolog...
Last time updated on 30/12/2017
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info:doi/10.3941%2Fjrcr.v11i3....
Last time updated on 01/04/2019
Jefferson Digital Commons
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oai:jdc.jefferson.edu:radiolog...
Last time updated on 15/06/2017