Abdomen agudo por rotura espontánea de un leiomioma uterino subseroso

Although pelvic pain and metrorrhagia are the disorders that are most commonly associated with uterine leiomyoma, acute hemoperitoneum due to rupture of a subserosal leiomyoma is an exceptional event that has scarcely been reported in the international medical literature. This article describes one of the few known cases of acute abdomen caused by spontaneous rupture of a subserosal uterine leiomyoma, which was treated at the Department of Gynecology of the Hospital Universitario Central de Asturias (Spain). Risk factors for this unusual entity are considered to be the patient's age and parity, as well as the size of the myoma and certain uterine vascular malformations; however, in this specific case, some histological peculiarities of the tumor seem to be of relevance.