{
    "abstract": "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.",
    "authors": [
        {
            "affiliation": "University of California Davis School of Medicine, 4610 X Street, Sacramento, CA 95817, USA.",
            "firstname": "Martin A C",
            "initials": "MAC",
            "lastname": "Manoukian"
        },
        {
            "affiliation": "University of California Davis School of Medicine, 4610 X Street, Sacramento, CA 95817, USA.",
            "firstname": "Amode R",
            "initials": "AR",
            "lastname": "Tembhekar"
        },
        {
            "affiliation": "Department of Emergency Medicine, University of California, Davis, 2315 Stockton Boulevard, Sacramento, CA 95817, USA.",
            "firstname": "Sarah E",
            "initials": "SE",
            "lastname": "Medeiros"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1155/2018/4251408\n10.4103/0974-2700.201590\n10.4103/0974-2700.142764\n10.1016/0001-4575(94)E0019-H\n10.1016/0001-4575(94)00039-O\n10.1016/j.tjog.2016.08.009\n10.1136/bmj.3.5567.723\n10.1097/01.ta.0000198377.08604.0c\n10.1001/jamasurg.2013.123\n10.1016/0735-6757(92)90016-Q\n10.1155/2012/615734\n10.1136/bcr-2014-205229",
    "journal": "Case reports in emergency medicine",
    "keywords": [],
    "methods": null,
    "publication_date": "2018-09-19",
    "pubmed_id": "30225150\n28928002\n28367011\n22496266\n25400391\n7718071\n7786381\n28805619\n26985330\n6038373\n16394937\n24759918\n1616524\n23119216\n24951602",
    "results": null,
    "title": "Positive Seatbelt Sign with Avulsed Leiomyoma following Motor Vehicle Accident Leading to Hemoperitoneum.",
    "xml": "<Element 'PubmedArticle' at 0x788506e7e2a0>"
}