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

Claire P. McElhatton; Peita Webb; Matthew Stokes

doi:10.18203/2349-2902.isj20230687

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.

Metrics

Metrics Loading ...

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.