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
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
KAYE BB, FICARRA BJ. RUPTURE OF UTERINE VESSEL BY TWISTED FIBROID CAUSING INTRA-ABDOMINAL HEMORRHAGE. JAMA. 1950;144(8):616-617. doi:10.1001/jama.1950.62920080002006a