Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2023; 11(15): 3631-3636
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3631
Acute abdomen caused by spontaneous rupture of degenerative hysteromyoma during pregnancy: A case report
Ying Xu, Xi Shen, Xiao-Yu Pan, Shan Gao
Ying Xu, Xi Shen, Xiao-Yu Pan, Shan Gao, Department of Obstetrics and Gynecology, China-Japan Friendship Hospital, Beijing 100000, China
Author contributions: Xu Y wrote the manuscript; Shen X and Pan XY collected and sort out the case data; Gao S was responsible for manuscript writing, review, and editing; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors state no conflict of interests for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Shan Gao, MA, Doctor, Department of Obstetrics and Gynecology, China-Japan Friendship Hospital, No. 2 Yinghua East Road, Beijing 100000, China.
Received: February 2, 2023
Peer-review started: February 2, 2023
First decision: February 17, 2023
Revised: February 27, 2023
Accepted: March 23, 2023
Article in press: March 23, 2023
Published online: May 26, 2023

Hysteromyoma is not a rare tumor among pregnant women. During pregnancy, the symptoms caused by hysteromyoma can be improved through conservative treatment in most cases. However, in order to ensure the safety of mothers and children, surgeries are necessary in some special cases.


We report a case of pregnancy complicated with hysteromyoma red degeneration. The patient had peritonitis after sudden abdominal pain during the 20th week of pregnancy. Laparoscopic exploration suggested rupture and bleeding of hysteromyoma, which were improved after drainage and an anti-inflammatory treatment. A cesarean section was performed after full term. This case shows the complications of rupture after red degeneration of hysteromyoma during pregnancy.


We should be alert to rupture of hysteromyoma during pregnancy, and active laparoscopic exploration is essential to improve the prognosis of such patients.

Keywords: Leiomyoma degeneration, Myoma rupture, Acute abdomen, Pregnancy, Hysteromyoma bleeding, Case report

Core Tip: We report a case of pregnancy complicated with rupture and bleeding of hysteromyoma and review the diagnosis and treatment strategies for acute abdominal conditions associated with hysteromyoma in pregnancy with a view to providing a reference for clinical practice.