{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:33:31Z","timestamp":1784810011859,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,1,3]],"date-time":"2017-01-03T00:00:00Z","timestamp":1483401600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Uterine fibroids are common benign tumors in women. Clinical manifestations are well known. Acute complications necessitating emergent surgical intervention are rare. <jats:italic>Case<\/jats:italic>. We report a case of a 53\u2010year\u2010old woman with a history of uterine fibroids presenting with acute\u2010onset severe abdominal pain. Imaging indicated massive free fluid and a large partially solid uterine mass. Vitals were consistent with hypovolemic shock. Examination revealed a surgical abdomen. She underwent an emergent laparotomy and total hysterectomy. Surgery revealed 4.5\u2009L of hemoperitoneum and a 15\u2009cm degenerated uterine fibroid with active bleeding. Pathology was consistent with intraoperative findings. She required transfusion of numerous blood products perioperatively. Her postoperative course was uncomplicated. <jats:italic>Conclusion<\/jats:italic>. It is rare for a uterine fibroid to spontaneously rupture. However, prompt recognition of this severe complication is critical for expeditious, life\u2010saving surgical management.<\/jats:p>","DOI":"10.1155\/2017\/3701450","type":"journal-article","created":{"date-parts":[[2017,1,3]],"date-time":"2017-01-03T16:00:38Z","timestamp":1483459238000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Spontaneous Rupture of a Leiomyoma Causing Life\u2010Threatening Intra\u2010Abdominal Hemorrhage"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2968-6459","authenticated-orcid":false,"given":"Melissa","family":"Schwartz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Powell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,3]]},"reference":[{"key":"e_1_2_7_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.aog.0000136079.62513.39"},{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.012"},{"key":"e_1_2_7_3_2","first-page":"72","article-title":"Rupture of a degenerated uterine fibroid as a cause of acute abdomen: a case report","volume":"58","author":"Takai H.","year":"2013","journal-title":"Journal of Reproductive Medicine"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12334"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313489906501219"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.04.006"},{"key":"e_1_2_7_7_2","first-page":"409","article-title":"Haemoperitoneum secondary to rupture of coronary veins on a fibroid uterus (Review)","volume":"20","author":"Deopuria R. 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