Intraperitoneal Haemorrhage from a vessel on the surface of a Uterine Fibroid

Background - Intraperitoneal Haemorrhage from uterine fibroid is rarely encountered. This article describes spontaneous intraperitoneal bleeding from a ruptured vessel on the surface of uterine fibroid. Case - We encountered a 35- year old multiparous woman who presented with acute abdominal pain. She had an acute abdomen, increasing pallor and a pelvic mass with free fluid in the abdomen and pelvis. Laparotomy was performed and revealed 15 x 18 cm pedunculated sub serous fibroid with ruptured surface vein which was actively bleeding with 2000ml of hemoperitoneum. Hysterectomy was performed. Patient required blood transfusion, but otherwise did well. Conclusion -This case suggest that, vessel rupture on the surface of Uterine Fibroid, though a rare complication should be considered in patients presenting with Intraperitoneal Bleeding and Pelvic Mass.