Spontaneous hepatic hemorrhage in older women.
Spontaneous liver hemorrhage in older women is not well described. We report an experience with five postmenopausal women who spontaneously bled from the liver. All five patients presented with acute bleeding. Four were treated nonoperatively. No tumor was identified in any patient. Four patients acutely were discharged alive and well, but one died after operation to control bleeding. Spontaneous liver hemorrhage can occur in a variety of clinical settings, but an association with older women taking hormone replacement and anticoagulation has not been reported.
Broughan
Thomas A
TA
The University of Oklahoma College of Medicine, Tulsa, Department of Surgery, Tulsa, Oklahoma 74135-2512, USA. Thomas-Broughan@ouhsc.edu
Walser
Eric M
EM
D000208:Acute Disease; D000368:Aged; D000792:Angiography; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed