{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T06:25:17Z","timestamp":1764483917543,"version":"3.46.0"},"reference-count":10,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T00:00:00Z","timestamp":1531440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title>\n                  <jats:p>We report a case of sudden\u2010onset disseminated intravascular coagulation during cesarean delivery for a patient with a subserosal leiomyoma. Rupture of hidden anastomotic vessels resulted in a significant decrease in fibrinogen levels and uncontrolled bleeding. Uterine venous flow disturbance caused by subserosal leiomyoma compression can possibly cause such a situation.<\/jats:p>","DOI":"10.1002\/ccr3.1718","type":"journal-article","created":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T06:52:10Z","timestamp":1531464730000},"page":"1747-1750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rupture of hidden abnormal myometrial vessels during cesarean delivery of a patient with subserosal leiomyoma: A possible pathogenesis of sudden\u2010onset disseminated intravascular coagulation"],"prefix":"10.1002","volume":"6","author":[{"given":"Junko","family":"Ushijima","sequence":"first","affiliation":[{"name":"Perinatal and Maternal Center of Saitama Medical Center Jichi Medical University  Saitama 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