The patients on anticoagulation therapy especially warfarin can develop gastrointestinal bleed, gum bleeding, hematuria or ecchymosis. Rarely do such patients present with hemoperitoneum producing symptoms. Hemoperitoneum can produce shock, cause compression symptoms or may even be fatal. Such patients can be managed conservatively or may need surgical exploration for ongoing bleeding or decomp...

background in stable patients with blunt abdominal trauma, accurate diagnosis of visceral injuries is crucial. objectives to determine whether repeating ultrasound exam will increase the sensitivity of focused abdominal sonography for trauma (fast) through revealing additional free intraperitoneal fluid in patients with blunt abdominal trauma. patients and methods we performed a prospective obs...

background: endometriosis is a chronic inflammatory gynecologic disease. problems associated with endometriosis include dysmenorrhea dyspareunia and infertility. while endometriosis does not generally cause complications during pregnancy endometriosis clearly causes complications before pregnancy. cases: we report four patients with endometriosis who developed a hemoperitoneum during pregnancy ...

Massive hemoperitoneum from spontaneous bleeding of uterine myoma is an extremely rare condition, that needs urgent surgical exploration. We report a 40-year-old woman, admitted for acute onset of abdominal pain. Physical examination revealed hypovolemic shock. The hemoglobin level was of 5 g/dL. Ultrasonography revealed hemoperitoneum. Emergency surgical exploration was planned. There was hemo...

Emergent exploratory laparotomy is recommended for hemodynamically unstable blunt trauma patients suspected of having hemoperitoneum. However, given the unreliability of ultrasonography and rapid scan speed of computed tomography (CT), CT might help clinicians provide accurate information even in hemodynamically unstable trauma patients. This observational study aimed to describe the bleeding s...

Introduction: Peliosis hepatis and splenosis is a rare disease. Most patients are asymptomatic. Spontaneous hemoperitoneum can be the clinical presentation due to rupture of the involved organs. Case Report: A 73­year­old male had sequential spontaneous rupture of the liver and spleen resulting from hemoperitoneum because of peliosis hepatis and splenosis. Details of the clinical presentation, ...

Gestational choriocarcinoma is an oppressive neoplasia arising in the body of the uterus and a feared complication following complete hydatidiform. Histologically, it is characterized by sheets of anaplastic syncytiotrophoblasts and cytotrophoblasts without chorionic villi. Unfortunately, overlooking such pathognomic feature in a case, led to an emergency admission because hemoperitoneum and ac...

OBJECTIVE To report a case of GIST type retroperitoneal tumor with spontaneous rupture to the abdominal cavity causing acute abdomen secondary to hemoperitoneum. METHODS/RESULTS We report the case of an 84 year-old man with history of BPH and chronic atrial fibrillation. He presented to the Emergency Department with diffuse abdominal pain, syncope and accompanying vegetative symptoms. Diagnos...