Haemoperitoneurn Secondary to Rupture of Retroperitoneal Variceal

Molina-Perez, M.; Rodríguez-Moreno, F.; González‐Reimers, Emilio; Perez-Palma, J.; Santolaria-Fernández, F.; Essardas-Daryanani, H.; Martı́nez-Riera, Antonio

doi:10.1155/1997/65261

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…In nearly all instances, rupture of intra-abdominal varices has been encountered in the setting of cirrhosis with evidence of coexisting portal hypertension and esophageal varices. Prior variceal hemorrhage or variceal band ligation has not been present [ 2 , 4 , 5 , 10 , 11 ]. The true incidence of retroperitoneal varices is difficult to estimate, but in one series the incidence was 18% on abdominal CT, but only a limited number of cases have been reported in the literature [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

Eichele

2017

Case Reports in Hepatology

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Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival.

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