Spontaneous hemoperitoneum.
Publication/Presentation Date
6-1-1996
Abstract
Massive hemoperitoneum seen without an obvious precipitating event is rare. A 21-year-old man was seen with diffuse abdominal pain of 48 hours' duration. He had no fever, nausea, or vomiting, and most laboratory values were normal. Exploration of the abdomen revealed free intraperitoneal blood with clotting but failed to reveal a source. The patient could recall no trauma or other inciting event. The only abnormalities found during laparotomy were multiple adhesions of the omentum to the lateral abdominal wall and localization of most of the clot within the greater omentum. The author cautions that a high index of suspicion followed by laparotomy are the management tools for controlling spontaneous hemoperitoneum. Conservative management produces a high mortality rate.
Volume
96
Issue
6
First Page
364
Last Page
365
ISSN
0098-6151
Published In/Presented At
Lucha P. A., Jr (1996). Spontaneous hemoperitoneum. The Journal of the American Osteopathic Association, 96(6), 364–365.
Disciplines
Medicine and Health Sciences
PubMedID
8690625
Department(s)
Fellows and Residents
Document Type
Article