{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:41:57Z","timestamp":1761896517945},"reference-count":0,"publisher":"EduRad","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiology Case"],"abstract":"<jats:p>Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition.<\/jats:p>","DOI":"10.3941\/jrcr.v11i3.3054","type":"journal-article","created":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T13:34:40Z","timestamp":1490967280000},"page":"15-21","source":"Crossref","is-referenced-by-count":7,"title":["Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma"],"prefix":"10.3941","volume":"11","author":[{"given":"Daniel","family":"Mizrahi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chhavi","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Adamo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2326","published-online":{"date-parts":[[2017,3,23]]},"container-title":["Journal of Radiology Case Reports"],"original-title":[],"link":[{"URL":"https:\/\/mail.radiologycases.com\/index.php\/radiologycases\/article\/download\/3054\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/mail.radiologycases.com\/index.php\/radiologycases\/article\/download\/3054\/interactive","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/mail.radiologycases.com\/index.php\/radiologycases\/article\/download\/3054\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T16:25:41Z","timestamp":1693671941000},"score":1,"resource":{"primary":{"URL":"https:\/\/mail.radiologycases.com\/index.php\/radiologycases\/article\/view\/3054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,23]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3,31]]}},"URL":"https:\/\/doi.org\/10.3941\/jrcr.v11i3.3054","relation":{},"ISSN":["1943-0922"],"issn-type":[{"value":"1943-0922","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,23]]}}}