Abstract:

Spontaneous rupture of blood vessels on the surface of uterine myoma is rare in clinical practice, especially in pregnancy. Reported a case of admission to our hospital with acute abdominal pain in the third pregnancy trimester, who performed cesarean section due to suspected fetal distress during treatment, and spontaneous rupture and hemorrhage were found on the surface of the subserous myoma during the operation, the myoma was completely removed and the wound was sutured to stop bleeding, and the cause of abdominal pain on admission was finally identified. Clinicians should be reminded to consider whether there exists the diagnosis of haemorrhage from spontaneous rupture of a uterine myoma and acute abdominal pain during pregnancy. This paper reviews the literature at home and abroad to summarize its etiology and characteristics in order to improve the clinical recognition of the rupture of blood vessels on the surface of uterine myoma.

Key words: Uterus, Leiomyoma, Blood vessels, Rupture, Pregnancy trimester, third, Abdominal pain