{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:42Z","timestamp":1747186482157,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This is the first known case report of severe intrauterine adhesion (IUA) following a life\u2010threatening event caused by an Epstein\u2013Barr virus\u2010associated atraumatic spleen laceration. A 22\u2010year\u2010old nulligravid female suffered from infectious mononucleosis for approximately 1\u2009month. Sudden severe hypovolemic shock with massive hemoperitoneum appeared and hemostasis was completely achieved by a splenectomy for an atraumatic spleen laceration, although that was followed by multiorgan failure and abdominal compartment syndrome. Complete recovery without any neurological sequelae was achieved by intensive treatment. A postoperative pathological evaluation revealed Epstein\u2013Barr virus\u2010associated splenomegaly. The patient was referred to our department because of secondary amenorrhea for approximately 5\u2009months since the last menstruation, which occurred just prior to the event. Laboratory blood test results demonstrated normal thyroid and ovarian functions. Hysterofiberscopy revealed complete obstruction at the end of the cervical canal, indicating secondary uterine amenorrhea caused by severe IUA. Hysteroscopic adhesiolysis with a rigid hysteroscope reached the opening of the uterine cavity and menstruation was restored.<\/jats:p>","DOI":"10.1111\/jog.15081","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T05:53:05Z","timestamp":1635313985000},"page":"256-261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe intrauterine adhesions after life\u2010threatening event caused by <scp>Epstein\u2013Barr<\/scp> virus\u2010associated atraumatic spleen laceration: Case report"],"prefix":"10.1111","volume":"48","author":[{"given":"Takahiro","family":"Ozaki","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Hyogo Prefectural Amagasaki General Medical Center  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miho","family":"Masuda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology 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