Endometriosis-induced intra-abdominal bleeding due to hysteroscopic myomectomy: A case report

This Japanese case report describes a 41-year-old with dysmenorrhea and anemia whose MRI showed a left endometriotic cyst and a submucosal uterine fibroid; she received 3 months of pseudomenopausal therapy before undergoing hysteroscopic myomectomy followed by laparoscopic adnexal resection. During hysteroscopic removal of the 48 mm myoma (67 g), intra-abdominal bleeding was later observed, extending to the liver surface, and its source was identified laparoscopically as rupture of the broad ligament from an endometriotic lesion; estimated hemorrhage was 900 mL. A limitation explicitly inherent to a case report is that findings cannot be generalized beyond this single patient, and transabdominal ultrasonography performed after hysteroscopy could not identify the bleeding source. This paper is centrally about endometriosis — it reports endometriosis-related intra-abdominal bleeding occurring during hysteroscopic myomectomy.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works