{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:13:48Z","timestamp":1773285228065,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,8,26]],"date-time":"2018-08-26T00:00:00Z","timestamp":1535241600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Emergency Medicine"],"published-print":{"date-parts":[[2018,8,26]]},"abstract":"<jats:p>A positive seatbelt sign following a motor vehicle accident is associated with an increased risk of intra-abdominal injury and hemoperitoneum. Injury to the uterus in reproductive-age women can also occur. In this report, we describe a 29-year-old nulligravida female who presented to the emergency room following a motor vehicle accident at freeway speeds. A positive seatbelt sign was noted, and a focused assessment with sonography for trauma revealed hemoperitoneum with an incidental finding of uterine leiomyomata. Upon exploratory laparotomy, a free-floating intraperitoneal mass was identified as an avulsed uterine leiomyoma. A uterine laceration containing a subserosal leiomyoma was also identified. The gynecological team was consulted, and a myomectomy of the subserosal leiomyoma followed by a closure of the uterine laceration was performed. The patient was transfused with a total of three units of packed red blood cells and two units of fresh frozen plasma. The postoperative course was without major complication. A positive seatbelt sign and hemoperitoneum in a reproductive-age woman with leiomyomata should increase the clinical suspicion for uterine injury and decrease the threshold for obtaining a gynecological consultation.<\/jats:p>","DOI":"10.1155\/2018\/4251408","type":"journal-article","created":{"date-parts":[[2018,8,26]],"date-time":"2018-08-26T19:31:40Z","timestamp":1535311900000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Positive Seatbelt Sign with Avulsed Leiomyoma following Motor Vehicle Accident Leading to Hemoperitoneum"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3170-986X","authenticated-orcid":true,"given":"Martin A. C.","family":"Manoukian","sequence":"first","affiliation":[{"name":"University of California Davis School of Medicine, 4610 X Street, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amode R.","family":"Tembhekar","sequence":"additional","affiliation":[{"name":"University of California Davis School of Medicine, 4610 X Street, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Medeiros","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of California, Davis, 2315 Stockton Boulevard, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","year":"2017","journal-title":"The American Journal of Emergency Medicine"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.201590"},{"issue":"14","key":"3","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.1001\/jama.2012.422","volume":"307","year":"2012","journal-title":"JAMA"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.142764"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/0001-4575(94)E0019-H"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/0001-4575(94)00039-O"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2016.08.009"},{"issue":"4","key":"9","first-page":"424","volume":"9","year":"2016","journal-title":"International Journal of Fertility & Sterility"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.3.5567.723"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000198377.08604.0c"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.123"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(92)90016-Q"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/615734"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-205229"}],"container-title":["Case Reports in Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2018\/4251408.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2018\/4251408.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2018\/4251408.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,8,26]],"date-time":"2018-08-26T19:31:46Z","timestamp":1535311906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criem\/2018\/4251408\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,26]]},"references-count":14,"alternative-id":["4251408","4251408"],"URL":"https:\/\/doi.org\/10.1155\/2018\/4251408","relation":{},"ISSN":["2090-648X","2090-6498"],"issn-type":[{"value":"2090-648X","type":"print"},{"value":"2090-6498","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,26]]}}}