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11 Possible Causes for Bloody Ascites, Pallor, Pelvic Hematoma

  • Ectopic Pregnancy

    There were 87.8% patients was had pallor, 9.4% were admitted with features of shock. Cervical motion tenderness (82.2%) was the most frequent sign.[ncbi.nlm.nih.gov] Pallor. Abdominal distension. Enlarged uterus. Tachycardia and/or hypotension. Shock or collapse.[patient.info]

  • Hemoperitoneum

    Significant findings on clinical examination were marked pallor, gross abdominal distension with doughy feel, and forniceal fullness on vaginal examination.[jpgo.org] However, a decrease in hemoglobin with bloody ascites from the paracentesis gave the impression of hemoperitoneum.[ncbi.nlm.nih.gov] Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[emedicine.medscape.com]

  • Splenic Rupture

    Pain in the upper left abdominal quadrant, hypotension, pallor, tachycardia and abdominal distention are main symptoms.[symptoma.com] Following the CT, the radiologist immediately called with preliminary results concerning for splenic laceration and hematoma with hemorrhagic abdominal and pelvic ascites[westjem.com] In the presence of severe anemia with pallor and abdominal distension, particularly in the context of a difficult birth, an abdominal ultrasound must be urgently performed[ncbi.nlm.nih.gov]

  • Bleeding from an Ectopic Pregnancy

    […] pain Bruising, hematoma, possible accompanying injuries Painless vaginal bleeding Differential diagnosis Findings PCOS Amenorrhea, oligomenorrhea, as well as breakthrough[amboss.com] Signs General examination: Rapidly developed shock, with pallor, sweating, air hunger, rapid thready pulse and hypotension.[gfmer.ch] […] pain that worsens before the onset of menses Dysmenorrhea, premenstrual or postmenstrual bleeding Dyspareunia Infertility Trauma (e.g., foreign body, sexual abuse) Pelvic[amboss.com]

  • Volvulus

    When the small bowel becomes necrotic, the ascites seems bloody and the volume is often large.[journals.plos.org] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org] Small intestinal necrosis was observed in 17 patients (54.8%), and 13 of those patients presented with massive bloody ascites.[journals.plos.org]

  • Endometriosis

    Physical examination revealed a generally well woman without pallor. Her chest and heart examinations were nor- mal.[de.slideshare.net] Other known causes of bloody ascites, especially a malignant process, must be excluded.[gynecology-obstetrics.imedpub.com] Complications included transient pulmonary febrile responses in 43%, two pelvic infections, and one hematoma. Ileus was not a problem, and there were no deaths.[ncbi.nlm.nih.gov]

  • Tubo-Ovarian Abscess

    This results in hemorrhage-filled cysts (endometriomas) and bloody ascites in the abdomen and pelvis.[doi.org] […] malignancy complex diverticular abscess complex appendiceal abscess pelvic endometriosis pelvic hematoma pelvic hemorrhagic cysts hydrosalpinx ectopic pregnancy 16 inflammatory[radiopaedia.org] At the time of presentation the patient was afebrile, vitals were stable and there was no pallor, icterus or oedema. Systemic examination was normal.[bioaccent.org]

  • Intestinal Obstruction

    Decreased serum K and C1 secondary to vomiting Ascitic fluid – infarction is suggested by bloody fluid, fetid odor, bacteria, elevated amylase Gastric contents – presence[diagnose-me.com] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[unboundmedicine.com] The patient was born with generalized edema, a distended abdomen, and pallor. Unlike many cases, the patient did not present with typical signs of volvulus.[ncbi.nlm.nih.gov]

  • Postoperative Pancreatitis

    If the fluid from the fistula becomes bloody after initially being clear, a second operation should be strongly considered because this finding suggests inflammation and erosion[ghrnet.org] In female patients, vaginal and bimanual examination may lead to the differential diagnosis of pelvic inflammatory disease. A complete physical examination is important.[elearning.sumdu.edu.ua] There was no jaundice or pallor. She had tenderness and guarding in the epigastric region.[acgcasereports.gi.org]

  • Uterine Rupture

    […] inspiration—Pain occurs because of the irritation of blood below the woman's diaphragm Hypovolemic shock caused by haemorrhage— Falling blood pressure, tachycardia, tachypnea, pallor[en.wikipedia.org] Operative findings revealed a large haemoperitoneum (4000 ml of bloody ascites in the peritoneal cavity) and the fetus was completely out of the uterus.[academic.oup.com] Uterine rupture, uterine inversion, and pelvic lacerations/hematomas are all associated with increased risk for hemorrhage at the time of delivery.[ncbi.nlm.nih.gov]

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