{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:12:03Z","timestamp":1779963123238,"version":"3.53.1"},"reference-count":13,"publisher":"Charles University in Prague, Karolinum Press","issue":"1","license":[{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"vor","delay-in-days":182,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"tdm","delay-in-days":182,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["actamedica.lfhk.cuni.cz"],"crossmark-restriction":true},"short-container-title":["Acta Med. (Hradec Kralove, Czech Repub.)"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>Leiomyomas are the most common benign tumor of the uterus. Occasionally, they may reach an extreme dimension. The authors present a case of a 44-year old woman, who suffered a car accident as a driver of personal motor vehicle. At the hospital, a huge tumor mass filling the entire abdominopelvic cavity was incidentally detected. The patient admitted a progressive abdominal enlargement for the last 5 years. An urgent laparotomy was performed, during which a giant, well-demarcated tumor arising from the uterine body had been disclosed. It was completely surgically removed and sent for histopathology. Grossly, the tumor measured 30 \u00d7 30 \u00d7 20 cm in the largest diameters and weighed 8.1 kg. The tissue was markedly edematous with foci of massive hemorrhages and contained confluent pseudocystic formations of various sizes, filled with a fluid and fresh blood. Solid foci of rubber consistency were also visible. Microscopic examination revealed a conventional subserous uterine leiomyoma with marked regressive and degenerative changes. Giant uterine leiomyomas occur extremely rare, but because of the often unexpected finding and atypical presentation, they may represent a great diagnostic challenge for both, pathologists and clinicians. At the biopsy examination, a multiple-section sampling is very important to avoid the possibility of underlying malignancy.<\/jats:p>","DOI":"10.14712\/18059694.2018.20","type":"journal-article","created":{"date-parts":[[2018,7,15]],"date-time":"2018-07-15T14:36:40Z","timestamp":1531665400000},"page":"29-32","update-policy":"https:\/\/doi.org\/10.14712\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Giant Uterine Leiomyoma in a Young Woman as an Incidental Finding After a Car Accident: a Case Report"],"prefix":"10.14712","volume":"61","author":[{"given":"Vladim\u00edr","family":"Barto\u0161","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Korec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Ficek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5727","published-online":{"date-parts":[[2018,7,2]]},"reference":[{"key":"18059694.2018.20_1","first-page":"259","volume":"18","author":"Skl\u00e1\u0159ov\u00e1","year":"2014","journal-title":"Prakt Gyn"},{"key":"18059694.2018.20_3","doi-asserted-by":"crossref","first-page":"e53","DOI":"10.1016\/j.mayocp.2013.06.029","volume":"89","author":"Moris","year":"2014","journal-title":"Mayo Clin Proc"},{"key":"18059694.2018.20_4","first-page":"665","volume":"106","author":"S\u0103vulescu","year":"2011","journal-title":"Chirurgia (Bucur)"},{"key":"18059694.2018.20_5","first-page":"89","volume":"18","author":"Wro\u0144ski","year":"2014","journal-title":"New Medicine"},{"key":"18059694.2018.20_6","first-page":"35","volume":"7","author":"Funaki","year":"2013","journal-title":"J Radiol Case Rep"},{"key":"18059694.2018.20_7","first-page":"246","volume":"53","author":"Kalayci","year":"2015","journal-title":"Acta Medica Iranica"},{"key":"18059694.2018.20_8","first-page":"88","volume":"3","author":"Rahman","year":"2016","journal-title":"J Cases Obstet Gynecol"},{"key":"18059694.2018.20_9","first-page":"608","volume":"3","author":"Reshmy","year":"2015","journal-title":"Sch J Med Case Rep"},{"key":"18059694.2018.20_10","first-page":"542","volume":"6","author":"Ramteke","year":"2016","journal-title":"Int J Health Sci Res"},{"key":"18059694.2018.20_11","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1016\/j.ijscr.2013.08.018","volume":"4","author":"Aydin","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"18059694.2018.20_12","doi-asserted-by":"crossref","first-page":"1121.e15","DOI":"10.1016\/j.fertnstert.2010.10.016","volume":"95","author":"Steward","year":"2011","journal-title":"Fertil Steril"},{"key":"18059694.2018.20_13","first-page":"71","volume":"81","author":"M\u00fcller","year":"2016","journal-title":"\u010ces Gynek"},{"key":"18059694.2018.20_14","first-page":"640","volume":"2","author":"Rajender","year":"2015","journal-title":"Int J Med Sci Clin Invent"}],"container-title":["Acta Medica (Hradec Kralove, Czech Republic)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/media\/pdf\/am_2018061010029.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/media\/pdf\/am_2018061010029.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T09:42:11Z","timestamp":1779961331000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/61\/1\/0029\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018]]}},"alternative-id":["am_2018061010029"],"URL":"https:\/\/doi.org\/10.14712\/18059694.2018.20","relation":{},"ISSN":["1211-4286","1805-9694"],"issn-type":[{"value":"1211-4286","type":"print"},{"value":"1805-9694","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}