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Spontaneous Hemoperitoneum From a Ruptured Vessel Overlying a Sub‐Serosal Myoma: A Rare and Life‐Threatening Emergency in Women

Year: 2025

Type: article

Abstract: Spontaneous hemoperitoneum is a rare yet potentially life-threatening condition characterized by the accumulation of blood in the peritoneal cavity without a traumatic cause. It is rare for a uterine leiomyoma to present with a massive hemoperitoneum; only a few cases have been reported in the literature. We present the case of a 41-year-old Ghanaian female with a history of bilateral tubal ligation who presented to the emergency department with syncope and severe abdominal pain. Initial evaluation revealed hypotension, tachycardia, and significant free intraperitoneal fluid on ultrasound. An exploratory laparotomy identified a massive hemoperitoneum secondary to a ruptured vessel overlying a uterine fibroid, necessitating subtotal hysterectomy and bilateral salpingectomy. This case highlights the importance of considering spontaneous hemoperitoneum in women with uterine fibroids who present with acute abdomen and hemodynamic instability.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.71366

Authors: Eugene Kojo Adomako, Nana Serwaa Quao, Janet Naki Opare, Maurice Dordunoo

Institution: Korle Bu Teaching Hospital

Language: English

Topic: Uterine Myomas and Treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820