{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:14:44Z","timestamp":1784171684756,"version":"3.55.0"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,11,14]],"date-time":"2012-11-14T00:00:00Z","timestamp":1352851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a rare case of spontaneous uterine rupture of an unscarred uterus caused by adenomyosis in the early third trimester. A 33\u2010year\u2010old primigravid woman was referred to our department because of severe acute abdominal pain and signs and symptoms of hemorrhagic shock. Ultrasound exanimation performed at admission revealed a living, intrauterine fetus of 28 weeks gestational age with reduced amniotic fluid and presence of free peritoneal fluid. The fetal heart rate was non\u2010reassuring with variable decelerations and severe fetal bradycardia. Emergency cesarean section revealed massive hemoperitoneum and complete rupture in the uterine fundus. Subtotal peripartum hysterectomy with conservation of adnexae was performed. Histological examination revealed adenomyosis at the site of uterine rupture.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2012.02042.x","type":"journal-article","created":{"date-parts":[[2012,11,14]],"date-time":"2012-11-14T13:08:13Z","timestamp":1352898493000},"page":"727-732","source":"Crossref","is-referenced-by-count":39,"title":["Spontaneous uterine rupture in a primigravid woman in the early third trimester attributed to adenomyosis: A case report and review of the literature"],"prefix":"10.1111","volume":"39","author":[{"given":"Marinos","family":"Nikolaou","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Medical School University of Patras  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen P.","family":"Kourea","sequence":"additional","affiliation":[{"name":"Department of Pathology Medical School University of Patras  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kostas","family":"Antonopoulos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medical School University of Patras  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"Geronatsiou","sequence":"additional","affiliation":[{"name":"Department of Pathology Medical School University of Patras  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Adonakis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medical School University of Patras  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Decavalas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medical School University of Patras  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,14]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00725.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000236128.43970.aa"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00073-2"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000261643.11301.56"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)91422-6"},{"key":"e_1_2_5_7_1","first-page":"224","article-title":"Adenomyosis in pregnancy. 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