A case of a patient with an endometrial sarcoma that was treated by radical pelvic surgery is of interest because of the manner in which acute loss of blood was managed.
A 43-year-old woman, gravida 3, para 3, was admitted to the New England Center Hospital because of pain and swelling in her lower extremities. For the past three years she had noted irregular, and occasionally profuse, vaginal bleeding. Three weeks prior to admission her right leg became swollen and, more recently, her left. She denied any gastrointestinal or genitourinary symptoms.
Her history revealed that a dilation and curettage had been performed seven years prior to this admission. The pathological diagnosis at that time had been benign secretory endometrium and chronic cervicitis.
Physical examination revealed a blood pressure of 130/80 mm. Hg and a pulse rate of 84 per minute. The chest was clear to percussion and auscultation. The heart
Marchant DJ, Hobika JH. ACUTE BLOOD LOSS REQUIRING NINETY-FIVE TRANSFUSIONSREPORT OF A CASE. JAMA. 1959;171(17):2318–2320. doi:10.1001/jama.1959.73010350012007d
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