Unusual spontaneous intraperitoneal hemorrhage: three case reports.
J Surg Case Rep
; 2024(8): rjae475, 2024 Aug.
Article
en En
| MEDLINE
| ID: mdl-39109380
ABSTRACT
Introduction and importance Spontaneous hemoperitoneum (SH) is a rare, life-threatening condition characterized by nontraumatic and non-iatrogenic intraperitoneal bleeding. This article explores three unique cases of SH, shedding light on unusual causes and emphasizing the critical role of diagnostic imaging and exploratory laparotomy in management. METHODS:
The study was a retrospective single-center non-consecutive case series.RESULTS:
We report three distinct cases of SH, each originating from uncommon sources rupture of greater omentum arterio-venous malformation, a branch of the left gastric artery, and pathological splenic rupture. Clinical evaluation, diagnostic imaging, and surgical interventions are detailed for each case.CONCLUSION:
These rare cases underscore the diverse etiologies of SH, including idiopathic omental bleeding, gastric intramural hematoma, and atraumatic splenic rupture. Enhanced CT imaging plays a crucial role in diagnosis, enabling the characterization of underlying pathologies. Exploratory laparotomy proves to be an essential treatment option for unstable patients with suspected or confirmed diagnoses of SH.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
J Surg Case Rep
Año:
2024
Tipo del documento:
Article
País de afiliación:
Ucrania
Pais de publicación:
Reino Unido