Atypical Leiomyoma with Amianthoid-like Fibers (ALWAF), causing Rupture Uterus, Haemoperitoneum and Mortality-
A Case Report
Published: June 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/55476.16522
Gwendolyn Fernandes, U Sujith, Asha Shenoy, Manjusha Karegar
1. Additional Professor, Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
2. Resident, Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
3. Professor, Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
4. Associate Professor, Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Correspondence
Dr. Gwendolyn Fernandes,
Additional Professor, Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
E-mail: drgwenfern@yahoo.co.in
Atypical Leiomyoma with Amianthoid-like Fibers (ALWAF) is a very rare entity with a couple of cases in the literature. Amianthoid fibers are thick acellular mats composed of crystalline collagen fibers. This is an unusual case of a 53-year-old female with Chronic Kidney Disease (CKD), who presented with pain in the abdomen for three weeks. Computed Tomography (CT) showed a degenerated subserosal leiomyoma in the posterior wall of the uterus which had ruptured leading to haemoperitoneum. An emergency exploratory laparotomy with simple hysterectomy was done. Histopathology revealed a ruptured atypical leiomyoma with abundant amianthoid-like fibers. The patient expired seven days after surgery due to hypovolaemic shock. Rupture of the uterus in leiomyoma with amianthoid fibers has not been reported in the literature. Awareness of this entity is important in view of acute catastrophic consequences like haemoperitoneum, hypovolaemic shock, and death.
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