# Hemoperitoneum complicating uterine fibroid: case report

## TL;DR

A 32-year-old woman in Ghana experienced a rare complication from a uterine fibroid, requiring urgent surgery to treat internal bleeding.

## Contribution

This case report highlights a rare but life-threatening complication of uterine fibroids in sub-Saharan Africa.

## Key findings

- Hemoperitoneum from a bleeding vessel on a pedunculated fibroid is a rare but serious condition.
- Successful treatment involved urgent resuscitation and laparotomy for myomectomy.
- Awareness of this complication is crucial for clinicians in regions with high fibroid prevalence.

## Abstract

Hemoperitoneum due to bleeding from a vessel on a uterine fibroid is very rare. We report a case of hemoperitoneum in a 32-year-old Ghanaian woman who collapsed due to hemoperitoneum from a bleeding vessel on a pedunculated fibroid. Urgent resuscitation followed by laparotomy for myomectomy was performed successfully. Clinicians especially in sub-Saharan Africa where uterine fibroids are endemic should be aware of this rare complication of fibroids to avoid delay in diagnosis and to prevent morbidity and mortality.