Struma ovarii complicating pregnancy

delivery, without any sequelae. Following delivery of the baby the uterus was closed with a standard two layer closure and was then exteriorised to ascertain the cause of the haemoperitoneum. Bleeding was noted from a ruptured uterine artery. Once this was sutured, the bleeding subsided. No other cause for the bleeding was found following further exploration of the abdomen. The estimated blood loss at the procedure was 4,780 ml, and she was resuscitated with 6 units of packed cells and 3 units of solvent-detergent plasma (Octoplas). This is a human plasma which is used in the same situations as fresh frozen plasma. It possesses the same clinical activity as normal human fresh frozen plasma but with a reduced risk of transmission with infective agents as a result of the solventdetergent treatment and purification. On the day following delivery, her haemoglobin was 12.7 g/dl. Her postoperative course was uneventful and she was discharged home well on the 6th day. The placenta was sent for histological examination and there was no evidence of placental abruption.