title: Spontaneous intrahepatic hemorrhage: a case report.
abstract: Etiology of the acute abdomen can be difficult to determine in the acute care setting, as both medical and surgical emergencies can present with a similar clinical presentation. Prompt work-up is essential to reveal the diagnosis and allow for successful treatment. We present a rare case of spontaneous intrahepatic hemorrhage in a patient with multiple comorbidities, including multiple myeloma and lung cancer. Although the underlying cause of hemorrhage remained unknown, appropriate recognition of the patient's presenting signs and symptoms allowed for immediate treatment and satisfactory outcome.
authors.affiliation: Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA.
authors.forename: Harman
authors.initials: H
authors.lastname: Arora
authors.forename: Jennifer
authors.initials: J
authors.lastname: Romero
authors.forename: Eugene
authors.initials: E
authors.lastname: Rubach
authors.forename: Robert
authors.initials: R
authors.lastname: Silverman
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008107:Liver Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000628:therapy