title: Acute hemorrhage related to spontaneous rupture of an uterine fibroid: a rare case report.
abstract: The authors present smooth muscle tumors of uncertain malignant potential (STUMP) diagnosis and surgical management of a spontaneously-ruptured degenerated uterine fibroids. A 48-year-old nulliparous presented with a two-day history of abdominal pain, bloating, constipation, and menorrhagia. Within eight hours, her distress level increased. Computed tomography (CT) scanning of the abdomen showed a large, 31 x 25 cm solid-cystic lesion. An emergency laparotomy was indicated. Surgery revealed approximately 2,000 cc of blood and a 30 cm degenerated uterine fibroid with a fundal rupture, cystic, and solid components extending to the lower pole of the liver. Pathology results noted mild nuclear atypia, six mitoses per ten high-power fields (hpf) and necrosis spread that was not coagulative with a STUMP diagnosis. STUMP presents a problematic group of uterine smooth muscle tumors for any clinician. In addition, STUMP can rarely cause acute complications like a rupture. Therefore, prompt diagnosis and effective management are important.
authors: Department of Obstetrics and Gynecology, Istanbul University School of Medicine, Istanbul, Turkey. ercan.bastu@istanbul.edu.tr
authors: E
authors: E
authors: Bastu
authors: S E
authors: SE
authors: Akhan
authors: M
authors: M
authors: Ozsurmeli
authors: R
authors: R
authors: Galandarov
authors: H
authors: H
authors: Sozen
authors: F
authors: F
authors: Gungor-Ugurlucan
authors: A C
authors: AC
authors: Iyibozkurt
mesh_terms: D000208:Acute Disease; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014592:Uterine Hemorrhage / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications*