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Ultrasound examination confirmed the diagnosis of fibroid degeneration. She was managed conservatively with analgesia and was discharged home uneventfully after 72 hours. This case report illustrates the diagnostic difficulties often encountered in managing abdominal pain during pregnancy complicated by a fibroid uterus.<\/jats:p>","DOI":"10.1136\/bcr-2024-263747","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T08:30:23Z","timestamp":1755765023000},"page":"e263747","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Red degeneration of fibroid presenting with abdominal pain in pregnancy"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5499-415X","authenticated-orcid":false,"given":"Louise","family":"Dunphy","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Gee","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Ford","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"2025082101300904000_18.8.e263747.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4621-4"},{"key":"2025082101300904000_18.8.e263747.2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318197bbaf"},{"key":"2025082101300904000_18.8.e263747.3","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(19)32322-0","article-title":"Seeing red degeneration in uterine fibroids in pregnancy: proceed with caution","volume":"394","author":"Cerdeira","year":"2019","journal-title":"The Lancet"},{"key":"2025082101300904000_18.8.e263747.4","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1097\/00004728-199411000-00014","article-title":"Red Degeneration of Uterine Leiomyoma","volume":"18","author":"Kawakam","year":"1994","journal-title":"J Comput Assist Tomogr"},{"key":"2025082101300904000_18.8.e263747.5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.humpath.2018.06.013","article-title":"MED12 is frequently mutated in ovarian and other adnexal leiomyomas","volume":"81","author":"Li","year":"2018","journal-title":"Hum Pathol (N Y)"},{"key":"2025082101300904000_18.8.e263747.6","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1111\/jog.13437","article-title":"Myoma and myomectomy: Poor evidence concern in pregnancy","volume":"43","author":"Milazzo","year":"2017","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082101300904000_18.8.e263747.7","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318197bbaf"},{"key":"2025082101300904000_18.8.e263747.8","first-page":"20","article-title":"Contemporary management of fibroids in pregnancy","volume":"3","author":"Lee","year":"2010","journal-title":"Rev Obstet Gynecol"},{"key":"2025082101300904000_18.8.e263747.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.01.093"},{"key":"2025082101300904000_18.8.e263747.10","unstructured":"Katz VL , Dotters DJ , Droegemueller W . 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