Two cases of Fibromyoma with intra‐abdominal hemorrhageb

Abstract

Intra-abdominal, sudden and violent hemorrhage in women is caused, when it is not of pure traumatic origin, in most cases by a ruptured tuba1 pregnancy.Against the frequency with which the ruptured extra-uterinepregnancy is the cause of free bleeding into the abdomen, all other causes are placed in the background.Among other causes we shall mention a ruptured corpus luteum, in this connection.Among such cases of hemorrhage, not few have been mentioned in the literature, but with regard to these FORSBNER is certainly right, when he in his work in 1916 emphasizes, that, among these, certainly a number of cases of early extrauterine-pregnancy lie hidden.Torsion of appendagetumors can likewise be the cause of profuse hemorrhage, and such cases have been reported by DANIEL and SPENCXR WELLS, hemorrhage which among other things can be caused by the rupture of the superficial blood vessels of a twisted ovary-cyst.Finally, in the literature cases are mentioncd in which a severe intra-abdominal hemorrhage has originated from a ruptured varix, which was either lain in lig.lat.or in the pelvic connective tissue, and some of these are described in patients who, at the same time, have been pregnant.C.