Abstract
1. 1. This case must be classified as an instrumental rupture. 2. 2. Too much time was lost in waiting for the Aschheim-Zondek test. An x-ray would have solved the problem immediately. 3. 3. Success depends upon an early diagnosis and prompt surgical treatment. 4. 4. All efforts should be directed toward the control of shock with glucose, plasma or blood transfusions. 5. 5. During the operation the patient received a blood transfusion. She must have died of shock because with a slow, long standing, active, internal hemorrhage, she did not get enough blood.
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