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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (2): 444-447    DOI: 10.31083/j.ceog.2021.02.2119
Case Report Previous articles | Next articles
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
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Abstract  
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-α every 28 days for 3 times. Outcomes: The patient recovered well after the operation and was asymptomatic for 3 months after 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.
Key words:  Adenomyosis      Bleeding      Hemoperitoneum      Surgery     
Submitted:  18 April 2020      Revised:  20 July 2020      Accepted:  28 July 2020      Published:  15 April 2021     
Fund: 
2020J0183/Science Research Fund of Yunnan Education Department in 2020
2018yk017/Science and Technology Project of the Second Affiliated Hospital of Kunming Medical University
81960469/National Natural Science Foundation of China
*Corresponding Author(s):  13759481789@163.com (Li-Hua Yang); jiansongwang@126.com (Qing-Hua Zhao)   

Cite this article: 

Su-Xian Zhang, Lu Wu, You-Fang Hou, Bo Yan, Shao-Yan Yang, Li-Hua Yang, Qing-Hua Zhao. Hemoperitoneum caused by bleeding of adenomyosis: a case report. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 444-447.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2021.02.2119     OR     https://ceog.imrpress.com/EN/Y2021/V48/I2/444

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