title: Hemoperitoneum secondary to exophytic leiomyoma: report of a case.
abstract: We report herein the case of a 63-year-old male with hemoperitoneum secondary to exogastric leiomyoma. The patient had been receiving anticoagulation therapy for a cerebral embolism and complained of sudden, severe abdominal pain. A sonogram and computed tomography scan showed an exogastric mass and massive ascites. A peritoneal puncture proved the presence of an intraperitoneal hemorrhage. An emergency laparotomy revealed a pedunculated bleeding tumor, thus confirming the preoperative diagnosis of a ruptured exogastric tumor. A microscopic analysis of the excised tumor demonstrated gastric leiomyoma. Other authors have reported hemoperitoneum secondary to gastric myogenic tumors, but no cases of leiomyomas could be found in the literature.
authors.affiliation: Department of Surgery, Funabashi Municipal Medical Center, Chiba, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Matsuda
authors.forename: Y
authors.initials: Y
authors.lastname: Watanabe
authors.forename: N
authors.initials: N
authors.lastname: Tonosu
authors.forename: Y
authors.initials: Y
authors.lastname: Nabeya
authors.forename: H
authors.initials: H
authors.lastname: Arima
authors.forename: H
authors.initials: H
authors.lastname: Matsuzaki
authors.forename: G
authors.initials: G
authors.lastname: Ohira
authors.forename: H
authors.initials: H
authors.lastname: Sato
authors.forename: T
authors.initials: T
authors.lastname: Mizushima
authors.forename: T
authors.initials: T
authors.lastname: Uehara
mesh_terms: D001707:Biopsy, Needle; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007813:Laparotomy; D007889:Leiomyoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome