Spontaneous Intra-leiomyoma Hemorrhage during Second Trimester of Pregnancy

Khong Jac Mun, Zalina Nusee and Riduan Tahar
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Khong Jac Mun: International Islamic University, Malaysia
Zalina Nusee: International Islamic University, Malaysia
Riduan Tahar: Hospital Sultan Haji Ahmad Shah Pahang, Malaysia

European Journal of Medical and Health Sciences, 2020, vol. 2, issue 6

Abstract: Uterine fibroid affects 0.3-2.6% of pregnant women and it is usually asymptomatic during pregnancy [1]. In about 10% of these patients will have complications such as miscarriage, fetal malpresentation, premature rupture of membranes, placenta abruptio, preterm delivery, abdominal pain due to fibroid torsion or degeneration [2]. Bleeding into the uterine fibroid is extremely rare and patient can present with acute abdomen [11]. Up to date, there were only two cases reported and both occur in postpartum period. We present a case of a pregnant woman with huge uterine fibroid with spontaneous intra-leiomyoma bleeding causing hypovolemic shock at 22 weeks of gestation. Because of failure of conservative management, we performed fibroid resection at 22 weeks of gestation with preservation of the pregnancy.

Keywords: Leiomyoma; pregnancy; intraleiomyoma haemorrhage; myomectomy; anemia (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:epw:ejmed0:v:2:y:2020:i:6:id:40618

DOI: 10.24018/ejmed.2020.2.6.618

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