Degenerated leiomyomas can rupture during pregnancy, and leakage of the fluid causes peritonitis in rare cases. If peritonitis associated with a degenerated leiomyoma is observed, the occurrence of rupture of the leiomyoma should be considered.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813020PMC
http://dx.doi.org/10.1002/ccr3.3564DOI Listing

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