{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:40:49Z","timestamp":1756384849143,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,11,19]]},"abstract":"<jats:p>A 55-year-old woman in a perimenopausal state presented with severe suprapubic pain and fever. Physical examination revealed a tender pelvic mass measuring 24\u2005weeks in size. Ultrasound of the pelvis and CT scan of the abdomen and pelvis showed a 12\u2005cm mass arising from the posterior wall of the uterus with irregular margin inferiorly, raising suspicion of a ruptured mass. The patient was treated conservatively and discharged from the hospital with regular simple analgaesia. She had an elective total hysterectomy bilateral salpingo-oophrectomy and frozen section the following week and histology revealed a benign leiomyoma with extensive necrosis. Moreover, intraoperatively, the fibroid was found to have ruptured its capsule. This case illustrates that a ruptured degeneration of uterine leiomyoma should be considered as one of the differential diagnoses for all women presenting with abdominal pain and a large fibroid mass regardless of their hormonal status or age.<\/jats:p>","DOI":"10.1136\/bcr-2014-207473","type":"journal-article","created":{"date-parts":[[2014,12,10]],"date-time":"2014-12-10T02:54:35Z","timestamp":1418180075000},"page":"bcr2014207473","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["An unusual presentation of a ruptured degenerative fibroid in a perimenopausal woman"],"prefix":"10.1136","volume":"2014","author":[{"given":"Meei Jiun","family":"Seet","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonali","family":"Chonkar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,12,9]]},"reference":[{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90077-2"},{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.2","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12334"},{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.3","first-page":"72","article-title":"Rupture of a degenerated uterine fibroid as a cause of acute abdomen: a case report","volume":"58","author":"Takai","year":"2013","journal-title":"J Reprod Med"},{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.4","first-page":"271","article-title":"Acute hemorrhage related to spontaneous rupture of an uterine fibroid: a rare case report","volume":"34","author":"Batsu","year":"2013","journal-title":"Eur J Gynaecol Oncol"},{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.5","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.35820"},{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.6","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-012-0157-0"},{"key":"2025082703122859000_2014.dec09_1.bcr2014207473.7","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.54887"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:12:34Z","timestamp":1756289554000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,9]]},"references-count":7,"alternative-id":["10.1136\/bcr-2014-207473"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207473","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,12,9]]}}}