Intraabdominal Hemorrhage: Causes & Reasons

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Possible Causes for Intraabdominal Hemorrhage

Splenic Subcapsular Hematoma

Cocaine-associated hemoperitoneum following atraumatic splenic rupture: a case report and literature review. [ncbi.nlm.nih.gov]

Splenic rupture and hemoperitoneum Trauma: Splenic rupture with giant perisplenic hematoma and small hemoperitoneum Trauma: Subcapsular splenic hematoma Trauma: Fresh splenic [ultrasoundcases.info]

C : CT, axial slice, without contrast, demonstrating spontaneously dense free liquid in the pelvis (arrow), indicative of hemoperitoneum. [ncbi.nlm.nih.gov]

Hepatic Rupture

Under the signs of a hemorrhagic shock, distended abdomen and intraabdominal bleeding a laparotomy was performed. [ncbi.nlm.nih.gov]

A 62-year-old man died from hemoperitoneum secondary to nontraumatic hepatic rupture. [ncbi.nlm.nih.gov]

A 34-year-old multiparous woman without hypertension was admitted at 21 weeks' gestation because of a spontaneous hepatic rupture with hemoperitoneum. [ncbi.nlm.nih.gov]

Splenic Rupture

Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. [ncbi.nlm.nih.gov]

Diagnostic ascitic fluid tap from multiple quadrants showed hemoperitoneum. [ijccm.org]

After both a physical and sonographical exam, it was revealed that it was due to a massive hemoperitoneum. [ncbi.nlm.nih.gov]

Splenic Injury

Median grade of splenic injury was 3 (range, 1-5); 73% had moderate-to-large hemoperitoneum. Median Injury Severity Score was 10 (range, 4-34). [ncbi.nlm.nih.gov]

We evaluated severity according to the AAST classification, the presence of hemoperitoneum or a contrast blush on initial CT scan. [ncbi.nlm.nih.gov]

Data collected included demographics, vital signs, laboratory data, the presence of contrast blush, the hemoperitoneum score, hospital course, and outcome. [ncbi.nlm.nih.gov]

Ovarian Pregnancy

Ovarian pregnancies are associated with massive hemoperitoneum in women unaware that they are pregnant. [ncbi.nlm.nih.gov]

An ultra-sonography led to the diagnosis of ovarian right ectopic pregnancy with dead fetus associated with a compartmentalized hemoperitoneum. [ncbi.nlm.nih.gov]

Abortions from impregnated follicles may cause hemoperitoneum more often than is generally suspected. [ncbi.nlm.nih.gov]

Ectopic Pregnancy

There was no hemoperitoneum. The tube contained twin gestational sacs. The crown-rump length of the embryos was 2 cm. [ncbi.nlm.nih.gov]

Laparoscopy was subsequently performed for the suspicion of ectopic pregnancy with hemoperitoneum. [ncbi.nlm.nih.gov]

A midline laparotomy revealed a ruptured caesarean scar ectopic pregnancy with an abundant hemoperitoneum. [ncbi.nlm.nih.gov]

Tubal Pregnancy

We report a case of ruptured tubal pregnancy with massive life-threatening hemoperitoneum. [ncbi.nlm.nih.gov]

There was no hemoperitoneum. The tube contained twin gestational sacs. The crown-rump length of the embryos was 2 cm. [ncbi.nlm.nih.gov]

Two patients with declining serum concentrations of beta-human chorionic gonadotropin (beta-hCG) and a ruptured tubal pregnancy with hemoperitoneum are described. [ncbi.nlm.nih.gov]

Hepatocellular Adenoma

A 26-year-old man had a massive intraabdominal hemorrhage from a hepatocellular adenoma (HCA). [ncbi.nlm.nih.gov]

Tumor rupture leads to hemoperitoneum, with various degrees of blood loss, leading to severe abdominal pain accompanied by thirst, tachycardia, hypotension, diaphoresis, signs [symptoma.com]

Kadowaki T, Hamada H, Yokoyama A, Ito R, Ishimaru S, Ohnishi H, et al: Hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer. [karger.com]

Myelodysplasia

History The development of myelodysplastic syndrome (MDS) may be preceded by a few years by an unexplained macrocytic anemia with no evidence of megaloblastic anemia and a mild thrombocytopenia or neutropenia. Clinical symptoms that should prompt a workup for MDS are due to low peripheral blood counts, usually[…] [emedicine.medscape.com]

Hepatocellular Carcinoma

Keywords: computed tomography, hemoperitoneum, liver, nontraumatic liver rupture This work is published and licensed by Dove Medical Press Limited. [dovepress.com]

Although rare, it can spontaneously rupture and cause hemoperitoneum similar to primary HCC in the liver. [synapse.koreamed.org]

We diagnosed the patient with hemoperitoneum secondary to liver lesion rupture. [docksci.com]

Penetrating Abdominal Trauma

Fifty-seven patients had peritoneal penetration and were noted to have hemoperitoneum only (n = 14), hemoperitoneum and solid organ injuries (n = 23), diaphragmatic lacerations [ncbi.nlm.nih.gov]

If necessary, a massive hemoperitoneum can be diagnosed rapidly with an abdominal ultrasonography (FAST) performed at the Emergency Room. [medicosecuador.com]

The advantages of DPL were that it was very sensitive for the detection of hemoperitoneum and that a result could be obtained rapidly. [east.org]

Massive Trauma

Hemoperitoneum semiquantitative analysis on admission of blunt trauma patients improves the prediction of massive transfusion. [journals.plos.org]

(TASH) score assesses 7 independent variables correlated to an increased probability of MT and with different relative impacts: SBP, hemoglobin (Hb), presence of intraabdominal [medintensiva.org]

[…] pelvic instability, age, admission from the scene of trauma, and mechanism of injury (traffic accident or fall from a height of over 3 m). (3) The Trauma Associated Severe Hemorrhage [medintensiva.org]

Acute Peritonitis

Excludes 1: traumatic hemoperitoneum (S36.8-) K66.8 Other specified disorders of peritoneum K66.9 Disorder of peritoneum, unspecified K67 Disorders of peritoneum in infectious [app.drchrono.com]

Adhesions (of) stomach Adhesive bands Mesenteric adhesions Excludes 1: female pelvic adhesions [bands] (N73.6) peritoneal adhesions with intestinal obstruction (K56.5-) K66.1 Hemoperitoneum [app.drchrono.com]

Heterotopic Pregnancy

Hemoperitoneum was noted and suctioned. All sites cauterized as needed. [blr.hcpro.com]

Greater than 2ml of nonclotting blood is suggestive of hemoperitoneum and ruptured ectopic pregnancy. [cdemcurriculum.com]

Moderately bloody fluid ( hct >15 ) indicates hemoperitoneum consistent with ruptured ectopic, but is non-specific and any internal bleeding (hemorrhagic ovarian cyst) can [brooksidepress.org]

Leaking Abdominal Aortic Aneurysm

We present a case of an 82-year-old lady with recurrent neck swelling and a history of intermittent stridor who subsequently developed a contusion over her lower neck and upper chest. The patient collapsed on her way to have a CT scan and died 24 hours later of a leaking aortic aneurysm. At initial presentation[…] [ncbi.nlm.nih.gov]

Liver Hematoma

hemorrhage associated with the abuse of anabolic steroids by a bodybuilder.A 24-year-old man was admitted to the hospital with right-upper-quadrant pain, mild tachycardia [nejm.org]

Abstract We report a case of a patient with mycotic pseudoaneurysm of the gastroduodenal artery who presented with hemoperitoneum and subcapsular hematoma of the liver. [ncbi.nlm.nih.gov]

There is no hemoperitoneum. [ultrasoundcases.info]

Subcapsular Liver Hematoma

hemorrhage associated with the abuse of anabolic steroids by a bodybuilder.A 24-year-old man was admitted to the hospital with right-upper-quadrant pain, mild tachycardia [nejm.org]

We describe successful conservative management of ruptured subcapsular liver hematoma in a woman with preeclampsia who had hemoperitoneum seen at cesarean section. [ncbi.nlm.nih.gov]

There is no hemoperitoneum. [ultrasoundcases.info]

Luteal Cyst of Ovary

-HCG helps to differentiate ectopic pregnancy from other condition associated with lower abdominal pain and intraabdominal hemorrhage. [ispub.com]

Spontaneous massive hemoperitoneum from hemorrhagic corpus luteum cyst as initial presentation of aplastic anemia. [uthsc.pure.elsevier.com]

A 15-yr-old girl presenting with acute abdomen and hemoperitoneum was referred to our department. [ncbi.nlm.nih.gov]

Hemoperitoneum

We report a case of a 30-year-old primiparous woman presented with sudden-onset intraabdominal hemorrhage at 34 weeks' gestation. [ncbi.nlm.nih.gov]

A ruptured abdominal visceral aneurysm with intraabdominal hemorrhage was shown on abdominal computed tomography（CT）． [petit.lib.yamaguchi-u.ac.jp]

Sabatelle R, Winger E: Postpartum intraabdominal hemorrhage caused by ectopic deciduosis. Obstet Gynecol 1973;41:873-875. [karger.com]

Peliosis Hepatis

In conclusion, PH is a rare condition that should be considered in the differential diagnosis of liver lesions and in the acute presentation of intraabdominal hemorrhage. [elsevier.es]

They range from asymptomatic to signs of acute infection and even to hepatic failure and intraabdominal hemorrhage. [synapse.koreamed.org]

The intraoperative findings included: hemoperitoneum of 2 L secondary to a ruptured subcapsular hepatic mass located in segments ii – iii. [elsevier.es]

Splenic Hematoma

No contrast blush or hemoperitoneum Because of the absence of hemoperitoneum or active bleeding, this patient has a good prognosis and will be managed non-operatively. [radiologyassistant.nl]

[…] splenic margin Inhomogeneous enhancement Fractured spleen Complete separation of fragments Intrasplenic hematoma Rounded mass Disrupted splenic capsule Often has associated hemoperitoneum [learningradiology.com]

Renal Angiomyolipoma

The larger tumor, involving the enlarged right kidney (24.0 cm in length), had a diameter of 21.0 cm and was associated with hemoperitoneum and retroperitoneal hemorrhage, [ncbi.nlm.nih.gov]

Angiosarcoma of the Liver

Hepatic angiosarcoma presenting as an acute intraabdominal hemorrhage treated with transarterial chemoembolization. Sarcoma 2007; 2007:90169. 37. [journals.lww.com]

The patient's clinical course was characterized by upper gastrointestinal hemorrhage, recurrent hemoperitoneum, hepatic failure, and, subsequently, the appearance of an angiosarcoma [ncbi.nlm.nih.gov]

(May 30, 2017) Primary Hepatic Angiosarcoma Mimicking Multifocal Liver Abscess with Disseminated Intravascular Coagulation and Hemoperitoneum. [cureus.com]

Infantile Hepatic Hemangioendothelioma

hemorrhage, and so on. [ncbi.nlm.nih.gov]

[…] as abdominal distension, gross hepatomegaly, severe arteriovenous (AV) shunting with CCF, anemia, thrombocytopenia (Kasabach-Merritt syndrome), consumptive coagulopathy, intraabdominal [ncbi.nlm.nih.gov]

Ruptured Ectopic Pregnancy

hemorrhage breast feeding immunodeficiency alcoholism chronic hepatic, renal, or lung disease blood dyscrasias peptic ulcer disease Surgery If surgery is warranted, laparascopy [sharinginhealth.com]

A vasovagal reflex may play a role in those patients without significant hemoperitoneum. [ncbi.nlm.nih.gov]

Hemoperitoneum is a well-recognized complication in female peritoneal dialysis (PD) patients of childbearing age. [ncbi.nlm.nih.gov]

Traumatic Liver Injury

Nonoperative management for extensive hepatic and splenic injuries with significant hemoperitoneum in adults. [ncbi.nlm.nih.gov]

High degree liver lesions, with a large amount of hemoperitoneum can be managed nonoperatively if the patient is hemodynamically stable [ 17 ]. [ncbi.nlm.nih.gov]

Hemothorax Abdominal CT showed degree Ⅳ (OIS) liver laceration, AIS= 4, at the level of the Ⅶ and the Ⅷ Couinaud segments, with minimum hemoperitoneum ( Figure 2, Figure 3 [ncbi.nlm.nih.gov]

Retroperitoneal Hemorrhage

hemorrhage. [ncbi.nlm.nih.gov]

Spontaneous retroperitoneal hemorrhage is a rare intraabdominal bleeding. [ncbi.nlm.nih.gov]

The larger tumor, involving the enlarged right kidney (24.0 cm in length), had a diameter of 21.0 cm and was associated with hemoperitoneum and retroperitoneal hemorrhage, [ncbi.nlm.nih.gov]

Splenic Artery Aneurysm

We also propose a rapid, but systematic sonographic approach to patients with atraumatic hemoperitoneum causing shock. [westjem.com]

During the operation, hemoperitoneum due to a spleen laceration was identified. [ceemjournal.org]

Only a few reported cases described the use of bedside ultrasound to identify hemoperitoneum prior to open laparotomy. [westjem.com]

Pseudounicornuate Uterus

[…] developed in a non communicating rudimentary horn of a unicornuate uterus complicated by horn rupture at 23 weeks of amenorrhea showing as an acute abdominal pain and massive hemoperitoneum [pubfacts.com]

The abdominal ultrasound showed a right lateral corporeal rupture with hemoperitoneum of medium sized and a dead fetus. [m.scirp.org]

Hemoperitoneum was suspected for non-specific symptoms such as acute abdominal pain, vomit, cardiotocography alterations and maternal acute anaemia. [scinapse.io]

Postoperative Hemorrhage

On postoperative day 1, she developed signs of intraabdominal hemorrhage. [jhu.pure.elsevier.com]

Notably, the late postoperative hemorrhage may arise not only from the digestive tract but also intraabdominal hemorrhage through anastomotic stoma. [journals.lww.com]

[…] anastomotic stomas of the digestive tract, pancreatic section, and stress ulcer section, among which gastroenterostomy and pancreaticojejunostomy face the highest possibility of hemorrhage [journals.lww.com]