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NONOBSTETRIC SPONTANEOUS RUPTURE OF THE UTERINE SUBSEROSAL MYOMA CORONARY ARTERY: A CASE REPORT AND LITERATURE REVIEW
DUBRAVKO HABEK
orcid.org/0000-0003-1304-9279
; Sveti Duh University Hospital, Croatian Catholic University, Department of Obstetrics and Gynecology, Zagreb, Croatia
MARIO CENKOVČAN
; Sveti Duh University Hospital, Croatian Catholic University, Department of Obstetrics and Gynecology, Zagreb, Croatia
GORAN AUGUSTIN
; Zagreb University Hospital Centre, Department of Surgery, Zagreb, and University of Zagreb, School of Medicine, Zagreb, Croatia
Abstract
This is a report of a case of arterial bleeding from spontaneous nonobstetric uterine myoma, with review of the literature. A 38-year-old multipara with myomatous uterus presented with spontaneous abdominal pain, nausea and malaise, free from comorbidities and abdominal trauma. After emergency diagnostic workup, urgent laparotomy with supracervical hysterectomy was performed with uneventful course. Hemoperitoneum resulting from spontaneous nonobstetric rupture of the uterine myoma artery is exceptionally rare. Despite its rarity, it should be included in the differential diagnosis of the known myomatous uterus, acute abdominal pain and nonobstetric hemoperitoneum.
Keywords
acute abdomen; hemoperitoneum; uterine myoma; coronary artery
Hrčak ID:
216550
URI
Publication date:
30.1.2019.
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