Table 1 Clinical characteristics of all 125 reported cases
From: Intra-abdominal haemorrhage from uterine fibroids: a systematic review of the literature
Characteristics | n = 125 |
|---|---|
Age (mean, SD) | 40.5 (9.2) |
Pre-menopausal, n (%) | 104 (83.2) |
Post-menopausal, n (%) | 21 (16.8) |
Parity, n (%) | |
• Nulliparity | 37 (29.6) |
• Multiparity | 48 (38.4) |
Presentation, n (%) | |
• Spontaneous | 106 (84.8) |
• Trauma | 19 (15.2) |
Symptoms, n (%) | |
• Abdominal pain | 124 (99.2) |
• Syncope/collapse | 27 (21.6) |
• Vomiting & diarrhea | 14 (11.2) |
• Shoulder tip pain | 11 (8.8) |
• Dyspnea | 8 (6.4) |
• Fever | 6 (4.8) |
Antecedent to presentation, n (%) | |
• Menstruation | 15 (12) |
• MVA/fall | 11 (8.8) |
• Stretching/exercise | 8 (6.4) |
• Defecation | 6 (4.8) |
Hypovolemic shock, n (%) | 87 (69.6) |
Cardiac arrest, n (%) | 2 (1.6) |
Mean size fibroid, cm (SD) | 12.6 (6.4) |
Types of fibroid, n (%) | |
• Subserosal | 47 (37.6) |
• Pedunculated | 24 (19.2) |
• Intramural | 5 (4) |
Location of fibroid, n (%) | |
• Fundal | 58 (46.4) |
• Posterior | 24 (19.2) |
• Anterior | 11 (8.8) |
Etiology of hemorrhage, n (%) | |
• Ruptured vessel | 76 (60.8) |
• Ruptured fibroid | 34 (27.2) |
• Avulsion fibroid | 10 (8) |
• Intra-fibroid | 5 (4) |
Haemoperitoneum, mean mls (SD) | 1959.0 (974.3) |
Laparotomy, n (%) | 122 (97.6) |
• During Cesarean section | 3 (2.4) |
Laparoscopy, n (%) | 2 (1.6) |
Type of surgery, n (%) | |
• Hysterectomy | 73 (58.4) |
• Myomectomy | 45 (36) |
• Ligation of vessels | 4 (3.2) |
• With adnexal surgery | 42 (33.6) |
RBC transfusion, units (SD) | 5.8 (5.44) |
FFP transfusion, units (SD) | 3.2 (1.2) |
Death, n (%) | 4 (3.2) |