{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:23:53Z","timestamp":1730870633058,"version":"3.28.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Uterine leiomyomas are common benign smooth muscle tumors that often occur during the reproductive years. Although many cases may not result in significant complications, negative pregnancy outcomes have been associated with the size and location of the fibroids. Degeneration of fibroids can occur as early as the late first trimester when they undergo significant volumetric growth, contributing to pain during pregnancy. While myomectomy is typically avoided during pregnancy, conservative management with anti-inflammatory medications may be effective. Surgical removal or preterm delivery may be necessary if symptoms persist. Abdominal compartment syndrome (ACS) is a rare condition characterized by sustained elevated intra-abdominal pressure leading to organ failure. Although ACS resulting from large-volume leiomyomas in the postpartum period has not been previously described, we present a case of a 25-year-old patient with massive uterine fibroids who required indicated preterm delivery via primary cesarean section at 25 weeks gestation. Her postpartum course was complicated by ACS, requiring emergent surgical decompression. When a large fibroid burden is present during pregnancy or in the postpartum period, ACS should be considered in the differential diagnosis. Early diagnosis and timely surgical decompression are necessary to prevent organ dysfunction and worsening maternal outcomes.<\/jats:p>","DOI":"10.1055\/a-2164-8100","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T23:11:30Z","timestamp":1693609890000},"page":"e74-e79","source":"Crossref","is-referenced-by-count":0,"title":["Uterine Leiomyomata as a Cause of Abdominal Compartment Syndrome in the Postpartum Period"],"prefix":"10.1055","volume":"14","author":[{"given":"Mason","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baha","family":"Sibai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvaro","family":"Montealegre","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateo G.","family":"Leon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,18]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.ajog.2007.12.039","article-title":"Fibroids and reproductive outcomes: a systematic literature review from conception to delivery","volume":"198","author":"P C Klatsky","year":"2008","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1186\/s13104-018-4007-0","article-title":"Uterine fibroids in pregnancy: prevalence, clinical presentation, associated factors and outcomes at the Limbe and Buea Regional Hospitals, Cameroon: a cross-sectional study","volume":"11","author":"T O Egbe","year":"2018","journal-title":"BMC Res Notes"},{"issue":"04","key":"ref3","first-page":"593","article-title":"Complications of uterine leiomyomas in pregnancy","volume":"73","author":"V L Katz","year":"1989","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref4","first-page":"76","article-title":"Surgical management of leiomyomata in pregnancy","volume":"24","author":"G Febo","year":"1997","journal-title":"Clin Exp Obstet Gynecol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1159\/000053893","article-title":"Uterine myomectomy in pregnant women","volume":"16","author":"S De Carolis","year":"2001","journal-title":"Fetal Diagn Ther"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.ejogrb.2020.08.018","article-title":"Myomectomy during pregnancy: a systematic review","volume":"254","author":"K Spyropoulou","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1007\/s00134-004-2169-9","article-title":"Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study","volume":"30","author":"M L Malbrain","year":"2004","journal-title":"Intensive Care Med"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1046\/j.1365-2168.2002.02072.x","article-title":"Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome","volume":"89","author":"J J Hong","year":"2002","journal-title":"Br J Surg"},{"issue":"03","key":"ref9","first-page":"207","article-title":"Is clinical examination an accurate indicator of raised intra-abdominal pressure in critically injured patients?","volume":"43","author":"A W Kirkpatrick","year":"2000","journal-title":"Can J Surg"},{"issue":"11","key":"ref10","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1007\/s00134-006-0349-5","article-title":"Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. 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