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Acute haemoperitoneum from spontaneous rupture of superficial veins on a leiomyoma is very rare. This report describes such a case. The clinical presentation included abdominal swelling, severe generalized abdominal pain, with vomiting and diarrhoea. There were features of intra-abdominal haemorrhage. Exploratory laparotomy and total abdominal hysterectomy was done. The diagnostic dilemma and management options are discussed.


Key Words: Fibroid, Leiomyoma, Haemoperitoneum, Hysterectomy


[Trop J Obstet Gynaecol, 2003, 20: 164-166]