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  <Article>
    <Journal>
      <PublisherName>journal-jmsr</PublisherName>
      <JournalTitle>Journal of Medical and Surgical Research</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Vol. IX, n 1</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>June 2022</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>JMSR Surgery</ArticleType>
      <ArticleTitle>Bowel Necrosis Due to Uterine Fibroids</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1075</FirstPage>
      <LastPage>1075</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Mohamed</FirstName>
          <LastName>Maliki-alaoui</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>A 37-year-old patient, with history of repeated miscarriages, referred to emergency for occlusive syndrome in pregnancy of 22 weeks. The onset of symptoms dates back to 5 days with diffuse abdominal pain, vomiting, bloating and no passing gas. The examination found a conscious patient, a 160 rate tachycardia, a stable blood pressure, a painful and tympanic abdomen. Abdominal ultrasound revealed bowel distension, a myomatous uterus and non-progressive pregnancy. Abdominal CT found small bowel distension and ischemia, peritoneal fluid and no transition-size zone. C-reactive protein was 102,10. The patient was operated after expulsion of a stillborn. Surgical findings were: small bowel distension, necrosis of the terminal ileum, polymyomatous uterus and an inflamatory bridle between a large necrotic fibroid and the underside of the mesentery of the ileal loops. We performed an ileocecal resection of 60cm and a double stomy. The postoperative course was simple after 48hours intensive care. Continuity restoration was performed a month later. The literature is full of papers explaining fibroids complications, but we didn’t find such a clinical presentation. Obstructive bowel over-distension results in parietal ischemia. Considering the absence of transition-size zone we can suggest that a progressive increase in uterine volume induced a compression or traction on the mesentery attached to the necrotic fibroid leading to necrosis of the corresponding territory.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Bridle,bowel obstruction,necrosis,pregnancy,uterine fibroids</Keywords>
      <URLs>
        <Abstract>https://journal-jmsr.net/ubijournal-v1copy/journals/abstract.php?article_id=13943&amp;title=Bowel Necrosis Due to Uterine Fibroids</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References/>
      </References>
    </Journal>
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