Massive hemoperitoneum due to rupture of a retroperitoneal varix

Kosowsky, Joshua M.; Gibler, W. Brian

doi:10.1016/s0736-4679(00)00259-6

Cited by 16 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

“…Ultrasonography has been deemed an insensitive modality to detect small retroperitoneal varices [ 13 , 14 ]. The diagnosis of hemoperitoneum made by paracentesis is evident by ascitic fluid hematocrit greater than 5% and may exceed peripheral blood concentration [ 2 , 10 ]. In all survival cases, early paracentesis was performed leading to emergent laparotomy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

Eichele

2017

Case Reports in Hepatology

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

Eichele

2017

Case Reports in Hepatology

View full text Add to dashboard Cite

show abstract

“…The first case of intra-abdominal hemorrhage resulting from cirrhosis was reported in 1958 [ 4 ]. While esophageal variceal bleeding mainly presents with hematemesis and melena, hemoperitoneum presents with abdominal pain and distention, hypotension, and hemorrhagic shock [ 5 ]. The diagnosis of hemoperitoneum is established by paracentesis, Doppler ultrasonography, and computed tomography [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with hemoperitoneum have been treated surgically [ 1 ]. Hepatic functional reserve, the occurrence of hemorrhagic shock, and early surgical intervention are important prognostic factors in patients with hemoperitoneum [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

External Hemorrhage from a Portacaval Anastomosis in a Patient with Liver Cirrhosis

Bıyık

Uçar

Cifci

et al. 2014

Case Reports in Hepatology

View full text Add to dashboard Cite

Variceal bleeding is the major complication of portal hypertension in patients with liver cirrhosis. Hemorrhage mainly occurs in gastrointestinal lumen. Extraluminal hemorrhages are quite rare, such as intraperitoneal hemorrhages. We aimed to present a variceal bleeding case from the anastomosis on the anterior abdominal wall, as an extraordinary bleeding location, in a patient with portal hypertension in whom there were no esophageal and gastric varices.

show abstract

“…Other less frequent causes of bleeding include, congestive gastropathy, gastric varix, peptic ulcer diseases, and gastritis. Only on rare occasions has the non-gastroesophageal vein been the cause of bleeding 2 - 7) . One case of spontaneous rupture of the lumbar artery in a patient with alcoholic liver cirrhosis was reported 8) ; however, spontaneous bleeding of the lateral thoracic artery in a patient with liver cirrhosis has not been reported.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis

Lee

Park

Chung

et al. 2008

Korean J Intern Med

View full text Add to dashboard Cite

Bleeding in patients with liver cirrhosis is primarily caused by gastroesophageal varix in association with extensive collateral circulation, portal hypertensive gastropathy, a Mallory-Weiss tear and peptic ulcer disease. The spontaneous rupture of an artery, as a result of coagulopathy, is extremely rare in patients with liver cirrhosis; however, we recently observed a case of a spontaneous rupture of the lateral thoracic artery in a 47 year-old male patient with alcoholic liver cirrhosis. The patient expired despite repeated transcatheter arterial embolization of the lateral thoracic artery and best supportive care. This is, to our knowledge, the first documented case of the spontaneous rupture of the lateral thoracic artery in a patient with liver cirrhosis.

show abstract

Massive hemoperitoneum due to rupture of a retroperitoneal varix

Cited by 16 publications

References 10 publications

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

External Hemorrhage from a Portacaval Anastomosis in a Patient with Liver Cirrhosis

Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis

Contact Info

Product

Resources

About