Hémopéritoine spontané par rupture de varices intra-abdominales chez le patient cirrhotique

A Rare Cause of Spontaneous Hemoperitoneum: intra-abdominal Vein Rupture

“…When spontaneous hemoperitoneum occurs in patients with cirrhosis, we should firstly consider the diagnosis of hepatocellular carcinoma and intra-abdominal varices rupture [ 3 ].…”

“…The rupture of an intra-abdominal vein is rare. In fact, few case reports and series have been reported in the literature [ 3 ]. There are no meta-analyseis or systemic reviews which has limited epidemiological data [ 4 , 5 ].…”

“…Reviewing the cases that are previously reported in the literature, this condition seems to be associated with a significant mortality of 75%. This is due on one hand to a delayed diagnosis and on the other hand to the own comorbidities of cirrhotic patients [ 3 , 7 ].…”

“…The clinical presentation is nonspecific. The diagnosis is usually made in a cirrhotic patient with hemodynamic instability without external bleeding, a recent in-vascular gesture (puncture) or a significant abdominal traumatism [ 3 , 8 ]. In our case, the diagnosis was made early before alteration of hemodynamic parameters.…”

“…The most frequent circumstance of discovery is spontaneous hemoperitoneum. Prognosis is poor if the diagnosis is delayed [ 3–13 ].…”