Hemoperitoneum caused by bleeding of adenomyosis: a case report

Rationale: Adenomyosis is a disease in which the endometrial tissues (glands and stroma) extend into the myometrium. It usually occurs in parous women aged 35 to 50 years old. The common symptoms include secondary severe dysmenorrhea and menorrhagia. Hemoperitoneum is extremely rare and easily overl...

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Main Authors: Su-Xian Zhang, Lu Wu, You-Fang Hou, Bo Yan, Shao-Yan Yang, Li-Hua Yang, Qing-Hua Zhao
Format: Article
Language:English
Published: IMR Press 2021-04-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2119
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author Su-Xian Zhang
Lu Wu
You-Fang Hou
Bo Yan
Shao-Yan Yang
Li-Hua Yang
Qing-Hua Zhao
author_facet Su-Xian Zhang
Lu Wu
You-Fang Hou
Bo Yan
Shao-Yan Yang
Li-Hua Yang
Qing-Hua Zhao
author_sort Su-Xian Zhang
collection DOAJ
description Rationale: Adenomyosis is a disease in which the endometrial tissues (glands and stroma) extend into the myometrium. It usually occurs in parous women aged 35 to 50 years old. The common symptoms include secondary severe dysmenorrhea and menorrhagia. Hemoperitoneum is extremely rare and easily overlooked. Patient concerns: A 46-year-old woman had adenomyosis and hemoperitoneum caused by bleeding of adenomyosis. Diagnoses: Adenomyosis and hemoperitoneum. Interventions: Hysterectomy with unilateral adnexectomy and subcutaneous injection of GnRH-α every 28 days for 3 times. Outcomes: The patient recovered well after the operation and was asymptomatic for 3 months after the operation. Lessons: We reported a case of adenomyosis in a parous woman. This patient received surgery because hemoperitoneum caused by bleeding of adnomyosis. It was important to timely diagnose and treat.
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spelling doaj.art-352296037bd4446581ed2af86a428c422022-12-22T00:29:15ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-04-0148244444710.31083/j.ceog.2021.02.2119S0390-6663(21)00107-XHemoperitoneum caused by bleeding of adenomyosis: a case reportSu-Xian Zhang0Lu Wu1You-Fang Hou2Bo Yan3Shao-Yan Yang4Li-Hua Yang5Qing-Hua Zhao6Department of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaDepartment of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaDepartment of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaDepartment of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaDepartment of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaDepartment of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaDepartment of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, ChinaRationale: Adenomyosis is a disease in which the endometrial tissues (glands and stroma) extend into the myometrium. It usually occurs in parous women aged 35 to 50 years old. The common symptoms include secondary severe dysmenorrhea and menorrhagia. Hemoperitoneum is extremely rare and easily overlooked. Patient concerns: A 46-year-old woman had adenomyosis and hemoperitoneum caused by bleeding of adenomyosis. Diagnoses: Adenomyosis and hemoperitoneum. Interventions: Hysterectomy with unilateral adnexectomy and subcutaneous injection of GnRH-α every 28 days for 3 times. Outcomes: The patient recovered well after the operation and was asymptomatic for 3 months after the operation. Lessons: We reported a case of adenomyosis in a parous woman. This patient received surgery because hemoperitoneum caused by bleeding of adnomyosis. It was important to timely diagnose and treat.https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2119adenomyosisbleedinghemoperitoneumsurgery
spellingShingle Su-Xian Zhang
Lu Wu
You-Fang Hou
Bo Yan
Shao-Yan Yang
Li-Hua Yang
Qing-Hua Zhao
Hemoperitoneum caused by bleeding of adenomyosis: a case report
Clinical and Experimental Obstetrics & Gynecology
adenomyosis
bleeding
hemoperitoneum
surgery
title Hemoperitoneum caused by bleeding of adenomyosis: a case report
title_full Hemoperitoneum caused by bleeding of adenomyosis: a case report
title_fullStr Hemoperitoneum caused by bleeding of adenomyosis: a case report
title_full_unstemmed Hemoperitoneum caused by bleeding of adenomyosis: a case report
title_short Hemoperitoneum caused by bleeding of adenomyosis: a case report
title_sort hemoperitoneum caused by bleeding of adenomyosis a case report
topic adenomyosis
bleeding
hemoperitoneum
surgery
url https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2119
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AT boyan hemoperitoneumcausedbybleedingofadenomyosisacasereport
AT shaoyanyang hemoperitoneumcausedbybleedingofadenomyosisacasereport
AT lihuayang hemoperitoneumcausedbybleedingofadenomyosisacasereport
AT qinghuazhao hemoperitoneumcausedbybleedingofadenomyosisacasereport