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Usually an internal organ is damaged, such as the spleen, kidney or liver. The organ or blood vessels supplying it have been ruptured.

It is hard to see because it is internal, but life threatening and serious.

The blood is leaving the circulatory system and being trapped within the body cavity, where it will not be recirculated.

It will cause a loss of blood pressure.

Blood pooling, swelling or discoloration may be visible, but otherwise hard to detect. The patient will be suffering from shock and have a weak and rapid pulse. Emergency medical treatment is vital if internal bleeding is suspected.

Physical trauma (such as road accidents) is the most likely cause.

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