Evidence map›Paper›PMID 41158813›Full record

ArticleClinical case reports2025

Spontaneous Hemoperitoneum From a Ruptured Vessel Overlying a Sub-Serosal Myoma: A Rare and Life-Threatening Emergency in Women.

Eugene Kojo Adomako, Nana Serwaa Quao, Janet Naki Opare, Maurice Dordunoo

Abstract read
In one paragraph

Article in Clinical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Imaging in the postpartum period.European journal of radiology open · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eugene Kojo AdomakoAccident and Emergency Centre Korle Bu Teaching Hospital Accra Ghana.ORCID https://orcid.org/0000-0002-4239-1199
Nana Serwaa QuaoAccident and Emergency Centre Korle Bu Teaching Hospital Accra Ghana.
Janet Naki OpareAccident and Emergency Centre Korle Bu Teaching Hospital Accra Ghana.
Maurice DordunooDepartment of Surgery Korle Bu Teaching Hospital Accra Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous hemoperitoneum is a rare yet potentially life-threatening condition characterized by the accumulation of blood in the peritoneal cavity without a traumatic cause. It is rare for a uterine leiomyoma to present with a massive hemoperitoneum; only a few cases have been reported in the literature. We present the case of a 41-year-old Ghanaian female with a history of bilateral tubal ligation who presented to the emergency department with syncope and severe abdominal pain. Initial evaluation revealed hypotension, tachycardia, and significant free intraperitoneal fluid on ultrasound. An exploratory laparotomy identified a massive hemoperitoneum secondary to a ruptured vessel overlying a uterine fibroid, necessitating subtotal hysterectomy and bilateral salpingectomy. This case highlights the importance of considering spontaneous hemoperitoneum in women with uterine fibroids who present with acute abdomen and hemodynamic instability.

Indexed as

acute abdomenpoint‐of‐care ultrasoundspontaneous hemoperitoneumuterine fibroids

Identifiers

PMID41158813
PMCPMC12554892

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.