Severe Hemoperitoneum: Spontaneous Rupture of Uterine Leiomyosarcoma: A Rare Case
نویسندگان
1 Supporting of the Family and the Youth of Population Research Core, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Pathology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Supporting of the Family and the Youth of Population Research Core, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Supporting of the Family and the Youth of Population Research Core, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
doi
10.24200/jogcr.10.9.727چکیده
Uterine sarcomas, unlike the more prevalent leiomyomas, are not common. leiomyosarcoma tends to exhibit aggressive behavior and is associated with a worse prognosis. Leiomyomas are notably linked to uterine rupture with hemoperitoneum. Here, we present a rare case of spontaneous rupture of uterine leiomyosarcoma. A 44-year-old woman with multiple childbirths reported abdominal pain. A clinical examination indicated a large abdominal mass. After active resuscitation, Computed Tomography (CT) revealed an accumulation of intraperitoneal fluid and a heterogeneous mass in the uterus. The patient underwent emergency laparotomy and total hysterectomy due to a ruptured leiomyoma. The final pathology confirmed the diagnosis of leiomyosarcoma. Bleeding was a result of infarction and ulceration or ruptured superficial veins caused by elevated intra-abdominal pressure. Spontaneous hemorrhage from a uterine leiomyosarcoma leading to hemoperitoneum is rare. This condition should be considered in the differential diagnosis of gynecological emergencies.
