Clinical Practice and Cases in Emergency Medicine
Point-of-care Ultrasonography of a Rare Cause of Hemoperitoneum
- Author(s): Kelson, Kyle R.
- Riscinti, Matthew
- Secko, Michael
- deSouza, Ian S.
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2018.7.38210
A young woman presented to the emergency department with lethargy, hemodynamic instability, and diffuse abdominal tenderness. On point-of-care ultrasound (PoCUS), she was found to have intraperitoneal free fluid and a large pelvic mass, which were discovered intraoperatively to be hemoperitoneum due to ruptured vessels of a uterine leiomyoma. Although rare, a life-threatening, ruptured leiomyoma may be treated surgically if recognized in an expedient fashion. A PoCUS can aid the emergency clinician in prompt diagnosis.