Hemoperitoneum due to spontaneous bleeding from a smooth muscle tumor of uncertain malignant potential: A rare case report.
Τίτλος | Hemoperitoneum due to spontaneous bleeding from a smooth muscle tumor of uncertain malignant potential: A rare case report. |
Publication Type | Journal Article |
Year of Publication | 2023 |
Authors | Zachomitros, F., Tsakiridis I., Peitsidis N., Michos G., Dagklis T., & Kalogiannidis I. |
Journal | Int J Surg Case Rep |
Volume | 103 |
Pagination | 107910 |
Date Published | 2023 Feb |
ISSN | 2210-2612 |
Abstract | INTRODUCTION AND IMPORTANCE: Smooth muscle tumors of uncertain malignant potential (STUMPs) are uncommon tumors representing an extremely rare cause of hemoperitoneum.
CASE PRESENTATION: We report a case of a 48-year-old Caucasian, premenopausal woman that presented in the emergency department with acute abdominal pain. There was no remarkable past medical and surgical history except from a known uterine leiomyoma. The ultrasound and the computed tomography imaging showed an intraperitoneal fluid collection and a heterogenous uterine mass. The patient underwent emergent exploratory laparotomy; a subserosal uterine tumor was identified with an actively bleeding vessel on its surface. The uterine lesion was completely excised and the histopathology set the diagnosis of a STUMP. After consultation on the significance of this finding with the patient, an abdominal total hysterectomy and bilateral salpingo-oophorectomy were scheduled and performed and the subsequent histopathology detected no malignancy.
CLINICAL DISCUSSION: This case demonstrates that a STUMP may be a rare cause of acute intraperitoneal bleeding. Careful evaluation of clinical history, imaging findings and, if needed, surgical exploration are important for the diagnosis, while appropriate follow-up is also of major importance for the management of these rare tumors.
CONCLUSION: We presented an extremely rare case of hemoperitoneum due to spontaneous bleeding from a STUMP. From an oncological perspective, this case poses a diagnostic, management and follow-up challenge.
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DOI | 10.1016/j.ijscr.2023.107910 |
Alternate Journal | Int J Surg Case Rep |
PubMed ID | 36736227 |
PubMed Central ID | PMC9925965 |