[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 50.16.107.222. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Other Articles
October 21, 1950

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

Author Affiliations

Brooklyn

From the Department of Surgery, St. Peter's Hospital.

JAMA. 1950;144(8):616-617. doi:10.1001/jama.1950.62920080002006a
Abstract

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

First Page Preview View Large
First page PDF preview
First page PDF preview
×