Department of Obstetrics and Gynaecology, PSG Institute of Medical Sciences & Research, Coimbatore
Uterine leiomyomas are the most common tumors of the uterus arising in the smooth muscle of the myometrium. Uterine perforation by a fibroid is a very rare complication. Here we are reporting a case of a perimenopausal 44 year old who presented in the emergency department of our hospital with acute abdomen and evidence of peritonitis. The patient was sent for an USG which showed a fundal fibroid and free fluid within the peritoneum which was confirmed by a CT scan. Laparotomy revealed a perforation on the uterus due to a degenerated fibroid leading to ascending infection, peritonitis and sepsis.
Leiomyoma, Degeneration, Perforation, Peritonitis
