Massive intra-abdominal hemorrhage from a hepatic laceration caused by vomiting.
We present a case report of a previously undocumented incident of massive hemoperitoneum from a liver laceration secondary to vomiting. The patient presented with the complaint of vomiting and abdominal pain. Computed tomography revealed perihepatic and perisplenic fluid collections. With this evidence and a rapidly falling hematocrit, she underwent emergency laparotomy. Intraoperative findings included 3 L of blood in the abdomen and a liver laceration at the juncture of the liver and the falciform ligament.
Horvath
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KA
Department of Surgery, Brigham and Women's Hospital, Boston, Mass. 02115.
Glasgow
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AH
D004630:Emergencies; D005260:Female; D006400:Hematocrit; D006454:Hemoglobins / Q000032:analysis; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008022:Ligaments / Q000293:injuries*; D008099:Liver / Q000293:injuries*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000150:complications*
D006454:Hemoglobins