Hemoperitoneum caused by bleeding of adenomyosis: a case report

Abstract

Hemoperitoneum caused by bleeding of adenomyosis: a case report Su-Xian Zhang1 , Lu Wu1 , You-Fang Hou1 , Bo Yan1 , Shao-Yan Yang1 , Li-Hua Yang1, *, Qing-Hua Zhao1, * 1Department of Gynaecology, The Second Affiliated Hospital of Kunming Medical University, 650101 Yunnan, China *Correspondence: 13759481789@163.com (Li-Hua Yang); jiansongwang@126.com (Qing-Hua Zhao) DOI:10.31083/j.ceog.2021.02.2119 This is an open access article under the CC BY-NC 4.0 license (https://creativecommons.org/licenses/by-nc/4.0/). Submitted: 18 April 2020 Revised: 20 July 2020 Accepted: 28 July 2020 Published: 15 April 2021 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-αevery 28 days for 3 times. Outcomes: The patient recovered well aȻter the operation and was asymptomatic for 3 months aȻter 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. Keywords Adenomyosis; Bleeding; Hemoperitoneum; Surgery