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October 1963

Intraperitoneal Hemorrhage Due to Uterine Fibroid: Report of a Case in Late Pregnancy

Author Affiliations

Assistant Clinical Professor of Surgery, Tufts University Medical School; Visiting Surgeon, Lawrence Memorial Hospital and Maiden Hospital; Associate visiting Surgeon, Boston City Hospital (Dr. Avola); Visiting Physician, Lawrence Memorial Hospital (Dr. Gonnella).

Arch Surg. 1963;87(4):666-668. doi:10.1001/archsurg.1963.01310160128025

Exsanguinating intraperitoneal hemorrhage due to rupture of a subserosal vein of a fibroid tumor of the uterus is a very rare entity. The condition has been seen even less frequently in association with pregnancy, only four cases having been reported,1 one of which occurred 36 hours after normal delivery. Despite the rarity of this clinical entity its recognition is extremely important since a fatality may ensue unless prompt surgical intervention is instituted. The following case recently encountered by us in a community hospital is, therefore, being reported.

Report of a Case  A 31-year-old, white, primiparous female in the eighth month of a normal pregnancy was admitted to the Lawrence Memorial Hospital on Feb 5, 1960, with the chief complaint of sharp lower abdominal pain of several hours' duration associated with vomiting and general malaise. About 5½ hours prior to admission to the hospital the patient attempted to have a

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