After removing most of his organs, they finally found it—a rent, nearly four-tenths of an inch long, in the splenic artery. The hemorrhage had flooded Garfield’s abdominal cavity with a pint of blood, which by now had coagulated into an “irregular form … nearly as large as a man’s fist.” This, they realized, had been the cause of the terrible pain that had forced him to cry out to Swaim just before his death.