Title: Massive Hemoperitoneum Due to Ruptured Variceal Vein: A Rare Complication of Uterine Leiomyoma : Case Report
Authors: Mohammed Benchaou, Fatima-Zahra ELBakkali, Saad Benkirane
Volume: 9
Issue: 8
Pages: 44-47
Publication Date: 2025/08/28
Abstract:
Uterine leiomyomas are the most common benign tumors in reproductive-aged women. Although typically asymptomatic or associated with bleeding and pelvic pressure, spontaneous hemoperitoneum due to fibroid-related vascular rupture is rare and potentially life-threatening. We report a case of a 44-year-old multiparous woman with a history of symptomatic uterine fibroids, admitted with acute abdominal pain and signs of hemorrhagic shock. CT imaging revealed a large subserosal myoma with prominent tortuous vascularization and massive hemoperitoneum. Emergency laparotomy identified active bleeding from a ruptured varicose vein on the fibroid surface. Conservative myomectomy was performed. In summary, the presented case illustrates that, although rare, spontaneous hemoperitoneum from fibroid varice rupture should be considered in women presenting with acute abdomen and a known history of uterine fibroids.