No abstract available.
Hemoperitoneum*

No abstract available.
Hemoperitoneum*

No abstract available.
Hemoperitoneum*

Diagnostic peritoneal lavage (DPL) has been widely used for the evaluation of blunt abdominal trauma since its first description by Root et al in 1965. Recently, with the improvement of electronic technology, Ultrasonography (US) has been routinely used in emergency. The reliability of ultrasonographic detection (US) of hemoperitoneum in hepatic and splenic trauma was evaluated in a retrospective and prospective study of 142 patients. The sensitivity, specificity and accuracy were, respectively, 93.9%, 84.1%, and 90.8%. Laparotomy was indicated in 98 patients (69%) of US hemoperitoneum-positive cases. There were 6 false negatives and 17 false positives in this study. We believe screening method in the evaluation of blunt abdominal trauma. US might take over a great part of role of diagnostic peritoneal lavage.
ultrasonography ; Hemoperitoneum ; Wounds and Injuries

Trauma is frequently not purely penetrating or purely blunt. Such mixed trauma can result from the mechanism of injury. Recently, we encountered a patient who accidentally shot himself with a shotgun. He had a 15 x 8-cm-sized penetrating injury on left flank that did not penetrate into the peritoneal cavity and a blunt splenic injury with hemoperitoneum. Surgical and interventional treatments were performed for each injury. We present this case with a review of the related literature.
Hemoperitoneum ; Humans ; Peritoneal Cavity

Various complications following acupuncture have been reported. In most cases, complications occur from the close apposition of vital organs and acupuncture sites. These complications can be avoided if acupuncturists are trained in appropriate medical science such as anatomy. However, our case is somewhat different from the norm. The deceased received acupuncture on the abdomen, provided by an acupuncturist. Unexpected symptoms occurred suddenly and she was transported to a hospital where she died of hemoperitoneum. On the postmortem examination, a well-defined vascular tumor was identified on the front of the liver, which was also cirrhotic; a few localized injuries were identified on the cystic wall of the tumor and surrounding liver parenchyma. We assumed these injuries were complications of acupuncture. Therefore, we present this case to suggest that acupuncturists should be educated to be vigilant for complications following treatment to reduce the risk of these tragedies.
Abdomen ; Acupuncture ; Autopsy ; Hemoperitoneum ; Liver

Uterine leiomyoma is common benign tumor in reproductive age woman. And secondary degeneration of uterine leiomyoma can be occurred usually during midpregnancy and the puerperium. But, spontaneous perforation of uterine leiomyoma with cystic degeneration is very rare. We have experienced a case of spontaneous perforation of a huge cystic degenerative uterine leiomyoma associated with massive hemoperitoneum in a menopausal woman, and report it with a brief review of literature.
Female ; Hemoperitoneum ; Humans ; Leiomyoma ; Postpartum Period

Spontaneous hemoperitoneum is rare. The most common etiologies are gynecologic, splenic, and hepatic. Gastric arteriovenous malformations are commonly associated with intraluminal bleeding, but gastric arteriovenous malformations are an unusual cause of spontaneous intraperitoneal hemorrhage. A 54-year-old man presented with acute onset of epigastric pain. The patient was given an operation and pathology confirmed that it was a gastric arteriovenous malformation.
Arteriovenous Malformations ; Hemoperitoneum ; Hemorrhage ; Humans ; Middle Aged

No abstact availble.
Adult ; *Colonoscopy ; Female ; Hemoperitoneum/*diagnosis ; Humans

Colonoscopy is a widely used diagnostic and therapeutic intervention with an excellent safety profile. Although an intraperitoneal hemorrhage is a rare complication after colonoscopy, and usually associated with splenic injury or solid organ pathology, it is potentially serious and can be life-threatening. We report a rare case of spontaneous intraperitoneal hemorrhage after diagnostic colonoscopy without splenic injury or intra-abdominal abnormality, known as idiopathic spontaneous intraperitoneal hemorrhage. This case emphasizes that physicians should be aware of the emergence of acute abdomen after colonoscopy.
Abdomen ; Abdomen, Acute ; Colonoscopy ; Hemoperitoneum ; Hemorrhage ; Spleen