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Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids
  1. Erika Takaki,
  2. Mayako Goto,
  3. Kensuke Hori and
  4. Kimihiko Ito
  1. Obstetrics and Gynecology, Kansai Rosai Hospital, Amagasaki, Japan
  1. Correspondence to Erika Takaki; mofftyu1992{at}


Intra-abdominal bleeding due to uterine fibroids is extremely rare, and preoperative diagnosis is difficult. Herein, we report a case of preoperatively diagnosed hypovolaemic shock due to intra-abdominal haemorrhage, in which fatal sequelae were prevented. A 46-year-old non-pregnant woman was brought to the hospital with a sudden-onset lower abdominal pain. On admission, she was in shock, and abdominal CT showed severe intra-abdominal haemorrhage. Since bleeding from uterine fibroids was suspected, an emergency simple total hysterectomy was performed, and her condition became stable after the operation. Intra-abdominal haemorrhage with hypovolaemic shock requires prompt surgical intervention. Although it occurs very rarely due to bleeding from uterine fibroids, imaging shows large fibroids; if the patient is not pregnant, bleeding from the fibroids should be considered.

  • obstetrics
  • gynaecology and fertility
  • general surgery

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  • Contributors ET (corresponding author)—conceptualisation, methodology, formal analysis, investigation and writing (original draft). MG—conceptualisation, methodology, investigation and writing (review and editing). KH—investigation. KI—conceptualisation, methodology, investigation, writing (review and editing) and supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.