{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:45:18Z","timestamp":1761767118660,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,10,18]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>Uterine necrosis is an infrequent event and is most commonly reported as a complication of interventions for postpartum haemorrhage management. Cases of uterine necrosis in pregnancy are rare. The mainstay of treatment for uterine necrosis is hysterectomy, and the data regarding conservative management are limited. A gravida 3, para 2 presented at 33 weeks gestation with ovarian torsion and underwent an exploratory laparotomy with ovarian cystectomy. The surgery was complicated by excess bleeding, which was controlled with the placement of sutures along the uterine body. She had multiple subsequent presentations for severe abdominal pain without clear aetiology. Four weeks after the initial surgery, she underwent caesarean delivery, at which time uterine necrosis was diagnosed. Her uterus was preserved. She received postoperative intravenous antibiotics and was closely observed. She continued to do well 10\u2009months postpartum. In patients with uterine necrosis during pregnancy who are haemodynamically stable, conservative management may be an option.<\/jats:p>","DOI":"10.1136\/bcr-2022-252273","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T10:55:41Z","timestamp":1667300141000},"page":"e252273","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Uterine necrosis during pregnancy following exploratory laparotomy"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6740-4374","authenticated-orcid":false,"given":"Anna","family":"Hirsch","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1472-677X","authenticated-orcid":false,"given":"Rachel","family":"Newman","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam","family":"Naqvi","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,1]]},"reference":[{"key":"2025082803294630000_15.11.e252273.1","doi-asserted-by":"crossref","DOI":"10.1177\/03000605211010730","article-title":"Uterine necrosis, infection, and subinvolution: complications observed after combined application of modified B-Lynch suture and vascular ligation","volume":"49","author":"Luo","year":"2021","journal-title":"J Int Med Res"},{"key":"2025082803294630000_15.11.e252273.2","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1080\/13645706.2020.1789662","article-title":"Postpartum hemorrhage with uterine artery embolization: the risk of complications of uterine artery embolization","volume":"31","author":"Kim","year":"2022","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"2025082803294630000_15.11.e252273.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00306.x"},{"key":"2025082803294630000_15.11.e252273.4","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.ejogrb.2013.07.016","article-title":"Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literature","volume":"170","author":"Poujade","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082803294630000_15.11.e252273.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)60520-5"},{"key":"2025082803294630000_15.11.e252273.6","doi-asserted-by":"crossref","first-page":"e4","DOI":"10.1016\/j.ajog.2011.01.023","article-title":"Uterine necrosis associated with acute suppurative myometritis after angiographic selective embolization for refractory postpartum hemorrhage","volume":"204","author":"Tseng","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"2025082803294630000_15.11.e252273.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/934913","article-title":"Uterine Necrosis Associated with Fusobacterium necrophorum Infection","volume":"2015","author":"Widelock","year":"2015","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082803294630000_15.11.e252273.8","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1080\/01443615.2017.1286303","article-title":"Finegoldia magna myometritis with uterine necrosis after uterine artery embolisation","volume":"37","author":"Tanaka","year":"2017","journal-title":"J Obstet Gynaecol"},{"key":"2025082803294630000_15.11.e252273.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2009.02813.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:29:55Z","timestamp":1756376995000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":9,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,1]]},"published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1136\/bcr-2022-252273"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252273","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}