Hemoperitoneum secondary to exophytic leiomyoma: Report of a case

We report herein the case of a 63-year-old male with hemoperitoneum seconda ry to exogastric leiomyoma. The patient had been receiving anticoagulation therapy for a cerebral embolism and complained of sudden, severe abdominal pain. A sonogram and computed tomography scan showed an exogastric mass and massive ascites. A peritoneal puncture proved the presence of an intraperi toneal hemorrhage. An emergency laparotomy revealed a pedunculated bleeding tumor, thus confirming the preoperative diagnosis of a ruptured exogastric tumor, A microscopic analysis of the excised tumor demonstrated gastric le iomyoma, Other authors have reported hemoperitoneum secondary to gastric my ogenic tumors, but no cases of leiomyomas could be found in the literature.