Spontaneous hemoperitoneum, due to bleeding from retroperitoneal varices, in a cirrhotic patient: a case report

Abstract

Key Clinical MessageHemoperitoneum from retroperitoneal varices in cirrhotic is very rare. This condition should be taken into account based on anamnesis, clinical features, and laboratory findings; but due to the unstable presentation, diagnosis remains a challenge. Emergency laparotomy could be effective treatment, but the prognosis remains poor related to the hepatic reserve.

A Rare Cause of Hemoperitoneum in a Patient with Cirrhosis and Portal Hypertension

“…Transjugular intrahepatic portosystemic shunt (TIPSS), balloon occluded retrograde transvenous obliteration, and percutaneous trans-hepatic obliteration with coil embolization of the veins draining into the ectopic varices are other advanced interventional options. 3 , 4 Our patient had a fortunate self-limiting bleed without re-bleed episodes in hospital, a matter of rarity.…”

Aggressive Surgical Management of Spontaneous Intramuscular Haematomas in Patients with Cirrhosis is an Important Therapeutic Option

“…Spontaneous; Haemorrhage; Intramuscular; Management; Surgery One known medical complication in patients with cirrhosis of the liver is sudden onset gastrointestinal haemorrhage which is usually variceal in nature and can be life threatening [1]. On occasion spontaneous haemorrhage from varices in other locations may also occur [2]. In addition, episodes of either intraabdominal or intrapulmonary haemorrhage are also associated with poor clinical outcomes in cirrhotic patients [3,4].…”