TY - JOUR
T1 - Hypovolemic shock due to massive edema of a pedunculated uterine myoma after delivery
AU - Koide, Keiko
AU - Sekizawa, Akihiko
AU - Nakamura, Masamitsu
AU - Matsuoka, Ryu
AU - Okai, Takashi
PY - 2009/8
Y1 - 2009/8
N2 - Although most patients with uterine myomas are asymptomatic during pregnancy, profound enlargement of a pedunculated myoma has serious consequences. In the present case, gradual enlargement of a pedunculated myoma was observed throughout a woman's pregnancy, worsening after delivery and causing hypovolemic shock, without evidence of external or intra-abdominal hemorrhage. Laparotomy revealed a severely edematous myoma containing a large amount of blood. It is speculated that partial occlusion had obstructed venous return, but not arterial blood flow, which caused rapid enlargement of the myoma.
AB - Although most patients with uterine myomas are asymptomatic during pregnancy, profound enlargement of a pedunculated myoma has serious consequences. In the present case, gradual enlargement of a pedunculated myoma was observed throughout a woman's pregnancy, worsening after delivery and causing hypovolemic shock, without evidence of external or intra-abdominal hemorrhage. Laparotomy revealed a severely edematous myoma containing a large amount of blood. It is speculated that partial occlusion had obstructed venous return, but not arterial blood flow, which caused rapid enlargement of the myoma.
UR - http://www.scopus.com/inward/record.url?scp=70049087931&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=70049087931&partnerID=8YFLogxK
U2 - 10.1111/j.1447-0756.2008.00986.x
DO - 10.1111/j.1447-0756.2008.00986.x
M3 - Article
C2 - 19751345
AN - SCOPUS:70049087931
SN - 1341-8076
VL - 35
SP - 794
EP - 796
JO - Journal of Obstetrics and Gynaecology Research
JF - Journal of Obstetrics and Gynaecology Research
IS - 4
ER -