Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix
Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis w...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2017/1829676 |
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| _version_ | 1832558923841798144 |
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| author | Derrick D. Eichele |
| author_facet | Derrick D. Eichele |
| author_sort | Derrick D. Eichele |
| collection | DOAJ |
| description | Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival. |
| format | Article |
| id | doaj-art-42caf97500724b8b9c0ffa815e1c5d14 |
| institution | Kabale University |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-42caf97500724b8b9c0ffa815e1c5d142025-02-03T01:31:11ZengWileyCase Reports in Hepatology2090-65872090-65952017-01-01201710.1155/2017/18296761829676Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal VarixDerrick D. Eichele0Divisions of Gastroenterology & Hepatology, University of Nebraska Medical Center, 982000 Nebraska Medical Center, Omaha, NE 68198-2000, USAHemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival.http://dx.doi.org/10.1155/2017/1829676 |
| spellingShingle | Derrick D. Eichele Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix Case Reports in Hepatology |
| title | Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix |
| title_full | Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix |
| title_fullStr | Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix |
| title_full_unstemmed | Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix |
| title_short | Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix |
| title_sort | hemoperitoneum secondary to spontaneous rupture of a retroperitoneal varix |
| url | http://dx.doi.org/10.1155/2017/1829676 |
| work_keys_str_mv | AT derrickdeichele hemoperitoneumsecondarytospontaneousruptureofaretroperitonealvarix |