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An Unusual Case of Acute Abdomen Related to a Large Pedunculated Leiomyoma
Journal article   Peer reviewed

An Unusual Case of Acute Abdomen Related to a Large Pedunculated Leiomyoma

Nigel Pereira, Mayes Dormosh, Beth C. Mapow and Dana C. Farabaugh
Journal of gynecologic surgery, v 28(5), pp 355-358
01 Oct 2012
DOI: https://doi.org/10.1089/gyn.2011.0090
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Science & Technology Surgery
Background: Uterine leiomyomas have several intermediate histologic variants that are associated with varied clinical presentations. Case: A 26-year-old woman presented with acute onset of left lower quadrant pain after swimming. Radiologic imaging revealed a large pelvic mass attached to the uterus. Exploratory laparotomy revealed a pedunculated uterine mass and hemoperitoneum caused by an avulsed adhesion between the left broad ligament and the mass. Histopathologic evaluation of the excised mass was consistent with a symplastic leiomyoma. Results: The patient was discharged on postoperative day 2 with a hemoglobin level of 9.8 g/dL. Postoperative recovery was unremarkable. Conclusions: Symplastic leiomyomas can present with acute peritoneal signs and hemoperitoneum caused by avulsion or rupture.

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1 citations in Web of Science
1 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Web of Science research areas
Obstetrics & Gynecology
Surgery
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