Watermelon skiing with a melancholy outcome: massive haemoperitoneum secondary to traumatic rupture of a para-adnexal leiomyoma

Authors

  • Claire P. McElhatton Department of Surgery, Princess Alexander Hospital, Brisbane, Queensland, Australia
  • Peita Webb Department of Surgery, Princess Alexander Hospital, Brisbane, Queensland, Australia
  • Matthew Stokes Department of Surgery, Princess Alexander Hospital, Brisbane, Queensland, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20230687

Keywords:

Watermelon skiing, Haemoperitoneum, Intraperitoneal haemorrhage, Blunt abdominal trauma, Leiomyoma

Abstract

A 33-year-old woman sustained blunt abdominal trauma following a watermelon skiing accident in a rural location. She had massive haemoperitoneum and required transfer by helicopter to a level one trauma centre. At laparotomy, the cause of haemoperitoneum was found to be due to traumatic rupture of a para-adnexal leiomyoma. On review of the literature, this is the first reported case of traumatic haemoperitoneum from ruptured para-adnexal leiomyoma, and the first reported trauma associated injury from watermelon skiing.

References

Melons Australia. Available at: https://www.melonsaustralia.org.au/chinchilla-melon-festival/. Accessed on 24 December 2022.

Stewart EA, Laughlin-Tommaso SK, Catherino WH, Lalitkumar S, Gupta D, Vollenhoven B. Uterine fibroids. Nature reviews. Disease primers. 2016;2(1):16043.

Munro MG, Critchley HO, Fraser IS; FIGO Menstrual Disorders Working Group. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril. 2011;95(7):2204-8.

Lete I, González J, Ugarte L, Barbadillo N, Lapuente O, Álvarez-Sala J. Parasitic leiomyomas: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2016;203:250-9.

Lim WH, Cohen SC, Lamaro VP. Intra-abdominal haemorrhage from uterine fibroids: A systematic review of the literature. BMC Surg. 2020;20(1):70.

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Published

2023-03-16

Issue

Section

Case Reports