title: Uterine leiomyomata necessitating emergency postpartum hysterectomy: a case report.
abstract: A 44-year-old woman had an uncomplicated vaginal delivery, immediately followed by severe right upper quadrant abdominal pain and hypotension. An emergency exploratory laparotomy revealed a hemoperitoneum caused by a ruptured blood vessel on a large pedunculated uterine fibroid. An unsuccessful myomectomy was attempted, followed by an emergency hysterectomy. This manuscript includes a review of complications of uterine leiomyomas associated with pregnancy.
authors.affiliation: Sanford School of Medicine of The University of South Dakota, USA.
authors.forename: Annette
authors.initials: A
authors.lastname: Siewert
authors.forename: Amy
authors.initials: A
authors.lastname: Kolberg
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D005260:Female; D006801:Humans; D007813:Laparotomy; D011181:Postnatal Care; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery