Uterine Fibroids (Uterus Myomatosus, Leiomyomas): Complications

The following are the most important diseases or complications that may be caused by leiomyomas/uterine myomatosus (fibroids of the uterus):

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99).

  • Malformations/growth disturbances of the fetus due to forced posture.

Blood, blood-forming organs – immune system (D50-D90).

Infectious and parasitic diseases (A00-B99).

  • Infection, especially of submucosal leiomyomas, unspecified.

Pregnancy, childbirth, and puerperium (O00-O99).

  • Abortion (miscarriage)
  • Atonic hemorrhage – massive bleeding after childbirth due to uterine atony (weakness of contraction of the uterus).
  • Premature birth
  • Placental abruption

Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99)

  • Capsular rupture
  • Female sterility/infertility
  • Pedunculated subserosal leiomyoma possibly with signs of acute abdomen.

Since the blood supply of leiomyomas is very limited, secondary changes such as:

  • Hyaline degeneration – leads to a softer consistency.
  • Calcification (calcification)
  • Necrosis (= myoma necrosis) – local tissue death in a myoma.
  • Parasitic fibroids – in this case, the leiomyomas grow together with the peritoneum (peritoneum) or other organs, which take over the blood supply instead of the uterus, due to an inflammatory reaction
  • Cystic degeneration – with formation of cavities within the leiomyoma.