[Massive hemoperitoneum from rupture of an intra-peritoneal varix].
Rupture of an intra-abdominal varix in a patient with portal hypertension is a rare but severe cause of massive hemoperitoneum. The authors report the case of a patient with alcoholic cirrhosis that presented to the emergency department with hypovolemic shock. Imaging showed massive hemoperitoneum, severe portal hypertension and suggested the diagnosis of spontaneous rupture of an intra-abdominal varix, confirmed at laparotomy.
Léauté
F
F
Service Central de Radiologie et d'Imagerie Médicale, Nantes, France. LEAUTE/CHU-NANTES@MERCURE
Frampas
E
E
Mathon
G
G
Leborgne
J
J
Dupas
B
B
D000005:Abdomen / Q000098:blood supply*; D000792:Angiography / Q000379:methods; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D012769:Shock / Q000209:etiology; D013162:Splenic Vein / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods; D014648:Varicose Veins / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery