{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T23:02:14Z","timestamp":1794006134439,"version":"4.8.0"},"reference-count":35,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,14]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Intra-abdominal bleeding due to uterine fibroids is extremely rare, and preoperative diagnosis is difficult. Herein, we report a case of preoperatively diagnosed hypovolaemic shock due to intra-abdominal haemorrhage, in which fatal sequelae were prevented. A 46-year-old non-pregnant woman was brought to the hospital with a sudden-onset lower abdominal pain. On admission, she was in shock, and abdominal CT showed severe intra-abdominal haemorrhage. Since bleeding from uterine fibroids was suspected, an emergency simple total hysterectomy was performed, and her condition became stable after the operation. Intra-abdominal haemorrhage with hypovolaemic shock requires prompt surgical intervention. Although it occurs very rarely due to bleeding from uterine fibroids, imaging shows large fibroids; if the patient is not pregnant, bleeding from the fibroids should be considered.<\/jats:p>","DOI":"10.1136\/bcr-2021-241782","type":"journal-article","created":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T14:00:24Z","timestamp":1622210424000},"page":"e241782","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Hypovolaemic shock due to intra-abdominal haemorrhage from multiple uterine fibroids"],"prefix":"10.1136","volume":"14","author":[{"given":"Erika","family":"Takaki","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, Kansai Rosai Hospital, Amagasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayako","family":"Goto","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Kansai Rosai Hospital, Amagasaki, 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