Spontaneous vaginal expulsion is a really rare condition which without proper treatment may cause many lifethreatening complications. Therefore, we present the case of a young woman who was admitted to a gynecological ward because of the heavy menstrual bleeding, abdominal pain since 3 weeks, anemia and fever.
The patient did not reveal any medical history. During the hospitalization spontaneous, vaginal expulsions of a purple-grey, stinking tissue were observed. Because of the unclear symptomatology and imprecise results of ultrasound scans, she was subjected to a detailed examination. The spontaneous, unusual vaginal expulsion of the uterine myomas was diagnosed.
According to authors knowledge it is the first case study in unusually young women, which shows spontaneous expulsion of myomas without known reason. By this study, authors want to increase awareness of this disease process, present multiple diagnostic dilemmas which can delay diagnosis and show different ways of treatment.
Bubak-Dawidziuk Joanna, Siekierski B. Pawel and Szymanski Jacek
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