{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T05:30:15Z","timestamp":1784093415023,"version":"3.55.0"},"reference-count":6,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,4,2]],"date-time":"2014-04-02T00:00:00Z","timestamp":1396396800000},"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":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Spontaneous rupture of uterine fibroid is rarely encountered. We present a case of a 31\u2010year\u2010old who presented with acute abdominal pain at 9 weeks postpartum. On examination, the abdomen had diffuse tenderness, with rebound tenderness in the suprapubic area and in both iliac fossae. On ultrasonography, a 12.7\u2009\u00d7\u20098.6\u2009\u00d7\u20098.9\u2010cm sized hyperechoic mass was visible on the posterior wall of the uterus. A large amount of fluid was visible in the paracolic gutters and the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ouch of <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ouglas (<jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>). The patient underwent an exploratory laparotomy. A ruptured, cystic degenerated uterine fibroid with active bleeding was found, as well as approximately half a liter of free, bloodstained peritoneal fluid and pus. Myomectomy was performed, followed by evacuation of the fluid and clots. The patient's postoperative course was uneventful. In conclusion, preoperative diagnosis of a perforated, uterine fibroid with spontaneous intra\u2010abdominal hemorrhage is difficult; exploratory laparotomy is both diagnostic and therapeutic in this rare, life\u2010threatening condition.<\/jats:p>","DOI":"10.1111\/jog.12334","type":"journal-article","created":{"date-parts":[[2014,4,2]],"date-time":"2014-04-02T08:07:53Z","timestamp":1396426073000},"page":"1423-1425","source":"Crossref","is-referenced-by-count":18,"title":["Rare postpartum ruptured degenerated fibroid: A case report"],"prefix":"10.1111","volume":"40","author":[{"given":"Yiap L.","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Sarawak General Hospital  Kuching Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aruku","family":"Naidu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Hospital Raja Permaisuri Bainun  Ipoh Perak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.04.006"},{"key":"e_1_2_5_3_1","first-page":"72","article-title":"Rupture of a degenerated uterine fibroid as a cause of acute abdomen: A case report","volume":"58","author":"Takai H","year":"2013","journal-title":"J Reprod Med"},{"key":"e_1_2_5_4_1","first-page":"271","article-title":"Acute hemorrhage related to spontaneous rupture of an uterine fibroid: A rare case report","volume":"34","author":"Bastu E","year":"2013","journal-title":"Eur J Gynaecol Oncol"},{"key":"e_1_2_5_5_1","first-page":"826","article-title":"Postpartum pyomyoma","volume":"97","author":"Mason TC","year":"2005","journal-title":"J Natl Med Assoc"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.012"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01541-1"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12334","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12334","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.12334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:34:39Z","timestamp":1696282479000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.12334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,2]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1111\/jog.12334"],"URL":"https:\/\/doi.org\/10.1111\/jog.12334","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,2]]}}}