Intravenous proton pump inhibitors do not reduce mortality, risk of rebleeding, or need for surgery in patients with upper gastrointestinal bleeding
Benefits in NNTNo one was helped (no death, rebleeding, or surgical intervention was prevented)
Benefits in percentagesNo one was helped (no death, rebleeding, or surgical intervention was prevented)
A young woman presented to the emergency department with lethargy, hemodynamic instability, and diffuse abdominal tenderness. On point-of-care ultrasound (PoCUS), she was found to have intraperitoneal free fluid and a large pelvic mass, which were discovered intraoperatively to be hemoperitoneum due to ruptured vessels of a uterine leiomyoma. Although rare, a life-threatening, ruptured leiomyoma may be treated surgically if recognized in an expedient fashion. A PoCUS can aid the emergency clinician in prompt diagnosis.
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