We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure [email protected]
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
A 50-year-old gravida 2, para 1 presents to the emergency department with vaginal bleeding. She underwent a robotic-assisted total laparoscopic hysterectomy with bilateral salpingectomy and cystoscopy 29 days ago for symptomatic uterine fibroids. The patient reports experiencing a “popping” sensation during her first episode of intercourse following surgery. Subsequently she developed 8/10 abdominal pain, vaginal bleeding, and vaginal pressure. She has no past medical history. Her past surgical history is significant for hysterectomy and bilateral salpingectomy. Her social history is significant for 20 pack-year history of tobacco use. She is not taking any medications and has no allergies.