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her more comfortable, but she continued very sick and sore all night. On my morning visit, before the operation, she looked very pale, and was very feeble, still suffering considerable pain. Vaginal examination was not made. On opening the peritoneal cavity dark blood escaped from the wound, and the abdomen was found containing a considerable quantity of blood, liquid and coagulated. In reaching down for the sac, on the left of the uterus, I felt a small rent in it, probably x/¡ inch long,doi:10.1001/jama.1889.02400970013002 fatcat:eryv62g4tjcsrku23ojafpemdq