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RUPTURE OF UTERINE VESSEL BY TWISTED FIBROID CAUSING INTRA-ABDOMINAL HEMORRHAGE

B. BERNARD KAYE, M.D.; BERNARD J. FICARRA, M.D.
JAMA. 1950;144(8):616-617. doi:10.1001/jama.1950.62920080002006a.
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The presence of free blood in the peritoneal cavity, encountered at operation, usually arises from a ruptured corpus hemorrhagicum, a bleeding peptic ulcer, or an ectopic pregnancy. Less frequently blood-tinged fluid is seen in mesenteric thrombosis, acute pancreatitis or a perforated chocolate ovarian cyst. An uncommon surgical experience is to find intraperitoneal hemorrhage from bleeding vessels of a uterine leiomyoma. A patient was recently treated by us after entering the hospital for an emergency operation. At the time of surgical intervention, free blood in the peritoneal cavity was found arising from a spurting vessel in the base of a twisted uterine fibroid. In view of the scarcity of this entity, we should like to report the case in question.

REPORT OF CASE 

History.—  N. D., a woman aged 39, was admitted to St. Peter's Hospital Dec. 30, 1948. Menses were regular, with occasional backache. The last menstrual period was

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