Radiology Case Reports (Mar 2025)

Intraperitoneal rupture of a degenerated uterine fibroid during pregnancy: A case report and literature review

  • Eya Azouz, MD,
  • Haithem Aloui, MD,
  • Hatem Frikha, MD,
  • Hammami Rami, MD,
  • Sana Minjli, MD,
  • Ahlem Omri, MD,
  • Mouna Baklouti, MD,
  • Hassine Saber Abouda, MD,
  • Mohamed Badis Channoufi, PhD,
  • Abir Karoui, PhD

Journal volume & issue
Vol. 20, no. 3
pp. 1452 – 1455

Abstract

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This case report describes a rare instance of intraperitoneal rupture in a redegenerated uterine fibroid during pregnancy. A 38-year-old woman at 38 weeks gestation, with a history of a single pregnancy, presented with mild pelvic pain persisting through late pregnancy. An emergency caesarean section was performed due to acute fetal distress during labor. Intraoperatively, a ruptured fundal subserosal fibroid with hemorrhagic necrosis was observed. Postoperative MRI confirmed the presence of a FIGO (International Federation of Gynecology and Obstetrics) type 6 fibroid, with evidence of red degeneration and a 4 cm defect. The patient underwent conservative management with favorable outcomes.

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