PMC5239864_01
Computed tomography of the abdomen and pelvis showing the 8.8 x 7.3 x 8.3 cm degenerated fibroid (arrow) and free fluid in Morison's pouch (arrowhead).
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fig1
Computed tomography, obtained by the emergency department prior to consultation, revealed an enlarged uterus with multiple fibroids as well as an 8.8 x 7.3 x 8.3 cm multicystic, partially solid, enhancing structure and moderate ascites (Figure 1).
Photograph of the specimen removed. Grossly, approximately 15 cm exophytic red degenerated fibroid.
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fig2
Intraoperative findings were significant for a ruptured degenerated fundal subserosal fibroid, which was actively bleeding posteriorly (Figure 2).