{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T18:49:59Z","timestamp":1793904599099,"version":"4.8.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,6,26]]},"abstract":"<jats:p>We present a rare case of a large infarcted submucous fibroid removed manually after a normal vaginal delivery. This patient was known to have a large postero-fundal hybrid predominantly intramural uterine fibroid, measuring 11 x 10 cm in diameter and diagnosed 2 years prior to last conception. Thirty-five days postpartum, she presented with severe lower abdominal pain and foul smell per vaginum. Abdominal examination revealed a very tender bulky uterus at 24 weeks size, and vaginal examination revealed a big fleshy smelly mass with friable surface just bulging from a dilated cervix. Examination under anaesthesia revealed a very foul smelly large pedunculated submucous fibroid that was felt through a dilated cervix. It was deliverable vaginally, so the submucous leiomyoma was removed manually, a procedure similar to manual removal of placenta. Histopathology examination confirmed an infarcted massive fibroid.<\/jats:p>","DOI":"10.1136\/bcr-2016-218712","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T10:05:21Z","timestamp":1502445921000},"page":"bcr-2016-218712","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Transvaginal postpartum manual removal of a prolapsed submucous leiomyoma, initially diagnosed hybrid predominantly intramural"],"prefix":"10.1136","volume":"2017","author":[{"given":"Wael","family":"Elgonaid","sequence":"first","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Sidra Medical & Research Centre, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem","family":"Belkhir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Boama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Sidra Medical & Research Centre, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,8,11]]},"reference":[{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1209993"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.2","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.bpobgyn.2015.11.017","article-title":"Pregnancy outcome and uterine fibroids","volume":"34","author":"Parazzini","year":"2016","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00605-5"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/GRF.0000000000000169","article-title":"Are women with uterine fibroids at increased risk for adverse Pregnancy outcome?","volume":"59","author":"Ezzedine","year":"2016","journal-title":"Clin Obstet Gynecol"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.5","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201137"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.6","first-page":"921","article-title":"Vaginal removal of the pedunculated submucous myoma. 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A case report","volume":"46","author":"Haskins","year":"2001","journal-title":"J Reprod Med"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.11","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1111\/jog.13145","article-title":"Spontaneous parasitic leiomyoma in a post-partum woman","volume":"42","author":"Iida","year":"2016","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.12","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s00404-003-0590-x","article-title":"Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity","volume":"271","author":"Golan","year":"2005","journal-title":"Arch Gynecol Obstet"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.13","doi-asserted-by":"publisher","DOI":"10.1007\/BF02849983"},{"key":"2025082723282093000_2017.aug10_2.bcr-2016-218712.14","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2011-130319"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:28:30Z","timestamp":1756362510000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,11]]},"references-count":14,"alternative-id":["10.1136\/bcr-2016-218712"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218712","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,11]]}}}