Open AccessSpontaneous Intra-leiomyoma Hemorrhage during Second Trimester of Pregnancy
Author(s) -
Khong Jac Mun,
Zaliusee,
Riduan Tahar
Publication year - 2020
Publication title -
european journal of medical and health sciences
Language(s) - English
Resource type - Journals
ISSN - 2593-8339
DOI - 10.24018/ejmed.2020.2.6.618
Subject(s) - medicine , pregnancy , obstetrics , gestation , abdominal pain , leiomyoma , acute abdomen , miscarriage , myoma , asymptomatic , uterine fibroids , uterine leiomyoma , uterine rupture , uterus , gynecology , surgery , genetics , biology
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.