{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T05:34:26Z","timestamp":1766468066967,"version":"3.48.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Interventions for controlling uterine bleeding during myomectomy, abound. When, however, the haemorrhage arises from low pressure bleeders in the retropelvic space and threatens patient\u2019s exsanguination, hitherto unknown interventions become life-saving. The aim of this report is to bring to fore a case of profuse, unprecedented myomectomy-associated retropelvic haemorrhage that was successfully controlled with combined transvaginal and transabdominal pelvic mop packing. A multipara, who presented with a 2-year history of symptomatic uterine fibroids. Intra-operatively, she developed profuse haemorrhage after the excision of a submucous fundal fibroid in the retro-pelvic space. Two abdominal mops pushed trans-vaginally to pack the pelvis reduced the bleeding by 80%, and a transabdominal mop exerting pressure on the transvaginal mops stopped bleeding entirely. The mops were removed after 48\u00a0hours, and she recovered uneventfully. Deep pelvic haemorrhage complicating myomectomy may be successfully stopped by combined transvaginal and transabdominal pelvic packing to save life.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1014","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T13:01:47Z","timestamp":1765630907000},"source":"Crossref","is-referenced-by-count":0,"title":["Controlling severe haemorrhage at myomectomy with mops: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Nathan","family":"Chidiadi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Assumpta","family":"Nweke","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silas","family":"Nwali","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Okoroafor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuka","family":"Obi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Nwokpoku","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moses","family":"Ikegbu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justus","family":"Eze","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital , No. 1 Chidume Street, Behind State Prison Headquarters, P.M.B.102 Abakaliki, Ebonyi State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"2025122223593671300_ref1","volume-title":"StatPearls [Internet]","author":"Florence","year":"2025"},{"key":"2025122223593671300_ref2","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.ejogrb.2015.05.027","article-title":"Techniques to reduce blood loss during open myomectomy: a qualitative review of literature","volume":"192","author":"Conforti","year":"2015","journal-title":"Eur J Obstetr Gynaecol Reproduct Biol"},{"key":"2025122223593671300_ref3","doi-asserted-by":"publisher","first-page":"CD005355","DOI":"10.1002\/14651858.CD005355.pub5","article-title":"Interventions to reduce haemorrhage during myomectomy for 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hemodynamically unstable pelvic fractures? A systematic review and a meta analysis","volume":"19","author":"Dong","year":"2024","journal-title":"Surg Open Sci"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/12\/rjaf1014\/66110324\/rjaf1014.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/12\/rjaf1014\/66110324\/rjaf1014.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T04:59:45Z","timestamp":1766465985000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf1014\/8402210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,29]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,11,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf1014","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,11,29]]},"article-number":"rjaf1014"}}