{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:22:41Z","timestamp":1782980561788,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"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":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous hemoperitoneum is a rare yet potentially life\u2010threatening condition characterized by the accumulation of blood in the peritoneal cavity without a traumatic cause. It is rare for a uterine leiomyoma to present with a massive hemoperitoneum; only a few cases have been reported in the literature. We present the case of a 41\u2010year\u2010old Ghanaian female with a history of bilateral tubal ligation who presented to the emergency department with syncope and severe abdominal pain. Initial evaluation revealed hypotension, tachycardia, and significant free intraperitoneal fluid on ultrasound. An exploratory laparotomy identified a massive hemoperitoneum secondary to a ruptured vessel overlying a uterine fibroid, necessitating subtotal hysterectomy and bilateral salpingectomy. This case highlights the importance of considering spontaneous hemoperitoneum in women with uterine fibroids who present with acute abdomen and hemodynamic instability.<\/jats:p>","DOI":"10.1002\/ccr3.71366","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:37:46Z","timestamp":1761547066000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous Hemoperitoneum From a Ruptured Vessel Overlying a Sub\u2010Serosal Myoma: A Rare and Life\u2010Threatening Emergency in Women"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4239-1199","authenticated-orcid":false,"given":"Eugene Kojo","family":"Adomako","sequence":"first","affiliation":[{"name":"Accident and Emergency Centre Korle Bu Teaching Hospital  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Serwaa","family":"Quao","sequence":"additional","affiliation":[{"name":"Accident and Emergency Centre Korle Bu Teaching Hospital  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet Naki","family":"Opare","sequence":"additional","affiliation":[{"name":"Accident and Emergency Centre Korle Bu Teaching Hospital  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice","family":"Dordunoo","sequence":"additional","affiliation":[{"name":"Department of Surgery Korle Bu Teaching Hospital  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2013.10.006"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2005.06.001"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320\u20101770.ijrcog20221462"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.34172\/jept.2022.31"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182888478"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr\u20102021\u2010243465"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.12809\/hkjgom.23.1.05"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.11152\/mu\u20101784"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2010.0082"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010022\u201001970\u20100"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2019.07.004"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001\u20106349.2005.0475d.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2013.01.021"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojog.2012.22032"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T05:52:31Z","timestamp":1765259551000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,26]]},"references-count":15,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccr3.71366"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71366","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,26]]},"assertion":[{"value":"2025-05-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71366"}}