Arch Gynecol Obstet (2017) 296:609–611 DOI 10.1007/s00404-017-4454-1 CORRESPONDENCE Spontaneous rupture of infarcted leiomyoma into endometrial cavity in a perimenopausal woman 1 2 3 3 • • • Yu-Ting Huang Ren-Chin Wu Angel Chao An-Shine Chao Received: 5 May 2017 / Accepted: 26 June 2017 / Published online: 6 July 2017 Springer-Verlag GmbH Germany 2017 Introduction with her hemoglobin level at 9.5 g/dl. She took no medi- cations and her medical history was unremarkable except Spontaneous rupture of a degenerated leiomyoma is a rare having an asymptomatic infracted leiomyoma diagnosed consequence in perimenopausal life [1, 2]. Herein, we for more than ﬁve years which had been keeping with thick present the clinical presentation of a 49-year-old patient, wall and cystic component measuring 10 cm in diameter who had a large asymptomatic leiomyoma for more than (Fig. 1). Pelvic-vaginal examination showed an enlarged ﬁve years, suffered from acute onset of bleeding, also with uterus compatible with 20-week gestation. Profuse blood- the unique ultrasound, magnetic resonance imaging (MRI) tinged discharge oozed out from cervical os. Magnetic and pathology ﬁndings. resonance imaging (MRI) revealed a heterogenous myoma (*) in the anterior uterine wall with rupture into the uterine cavity (arrow) (Fig. 2). To
Archives of Gynecology and Obstetrics – Springer Journals
Published: Jul 6, 2017
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