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

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

doi:10.1089/gyn.2011.0090

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 language	English (US)
Pages (from-to)	355-358
Number of pages	4
Journal	Journal of Gynecologic Surgery
Volume	28
Issue number	5
DOIs	https://doi.org/10.1089/gyn.2011.0090
State	Published - Oct 1 2012

All Science Journal Classification (ASJC) codes

Surgery
Obstetrics and Gynecology

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10.1089/gyn.2011.0090

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title = "An unusual case of acute abdomen related to a large pedunculated leiomyoma",

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)",

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T1 - An unusual case of acute abdomen related to a large pedunculated leiomyoma

AU - Pereira, Nigel

AU - Dormosh, Mayes

AU - Mapow, Beth C.

AU - Farabaugh, Dana C.

PY - 2012/10/1

Y1 - 2012/10/1

N2 - 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)

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

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