{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:18:41Z","timestamp":1790702321271,"version":"4.1.0"},"reference-count":7,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,15]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>This is a case of a 47-year-old woman with a spontaneous haemoperitoneum secondary to uterine leiomyomas (fibroids), an important differential diagnosis in patients with uterine fibroids and hypovolaemic shock. Uterine fibroids are very common in women of reproductive age, yet little is taught about their potential to cause hypovolaemic shock. Although it is a rare complication, given the prevalence of fibroids, it is important to bear this life-threatening differential in mind to optimise the care for these women. Presentation typically involves abdominal pain, syncope, haemodynamic instability and an intra-abdominal mass. CT of the abdomen and pelvis can be helpful in identifying the source of the haemoperitoneum, but should not delay surgery, which is the definitive management.<\/jats:p>","DOI":"10.1136\/bcr-2021-243465","type":"journal-article","created":{"date-parts":[[2021,10,4]],"date-time":"2021-10-04T12:43:44Z","timestamp":1633351424000},"page":"e243465","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Painless spontaneous haemoperitoneum secondary to a uterine leiomyoma\/fibroid: unusual presentation of a life-threatening differential"],"prefix":"10.1136","volume":"14","author":[{"given":"Chiamaka","family":"Maduanusi","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, UK"},{"name":"Obstetrics and Gynaecology, King's College Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sathiyaa","family":"Balachandran","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, King's College London GKT School of Medical Education, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahathevan","family":"Sathiyathasan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazal","family":"Omar","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,10,4]]},"reference":[{"key":"2025082713085675000_14.10.e243465.1","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1111\/1471-0528.14640","article-title":"Epidemiology of uterine fibroids: a systematic review","volume":"124","author":"Stewart","year":"2017","journal-title":"BJOG: Int J Obstet Gy"},{"key":"2025082713085675000_14.10.e243465.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03622-9"},{"key":"2025082713085675000_14.10.e243465.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.012"},{"key":"2025082713085675000_14.10.e243465.4","doi-asserted-by":"crossref","DOI":"10.1186\/s12893-020-00736-5","article-title":"Intra-Abdominal haemorrhage from uterine fibroids: a systematic review of the literature","volume":"20","author":"Lim","year":"2020","journal-title":"BMC Surg"},{"key":"2025082713085675000_14.10.e243465.5","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/PAF.0b013e3181744091","article-title":"Hemoperitoneum due to rupture of a subserosal vein overlying a uterine leiomyoma","volume":"29","author":"Ihama","year":"2008","journal-title":"Am J Forensic Med Pathol"},{"key":"2025082713085675000_14.10.e243465.6","doi-asserted-by":"crossref","first-page":"205","DOI":"10.11604\/pamj.2017.28.205.12135","article-title":"Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman","volume":"28","author":"Jenayah","year":"2017","journal-title":"Pan Afr Med J"},{"key":"2025082713085675000_14.10.e243465.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2020\/5364165","article-title":"Spontaneous rupture of leiomyoma diagnosed preoperatively with noncontrast computed tomography","volume":"2020","author":"Shan","year":"2020","journal-title":"Case Rep Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243465","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:09:03Z","timestamp":1756325343000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":7,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,4]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-243465"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243465","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}