Spontan umblikal ven rüptürüne bağlı hemoperitoneum

Assitli hastalarda terapotik, tanısal yöntemler sonrası ve/veya travmaya bağlı spontan hemoperitoneum görülebilir. Portal hipertansiyonun bir komplikasyonu olarak intraabdominal varislerin spontan rüptürü nadir olup, mortalitesi yüksektir. Biz burada spontan umblikal ven rüptürüne sekonder hemoperitoneum gelişen bir erkek hastayı sunduk.

Anahtar Kelimeler:

Hemoperitoneum, umblikal ven rüptürü, siroz

Hemoperitoneum due to spontaneous rupture of the umblical vein

Patients with ascites can develop spontaneous hemoperitoneum after injury or as a complication of diagnostic or therapeutic techniques. Spontaneous rupture of intra-abdominal varices is a rare complication of portal hypertension and an infrequent cause of hemoperitoneum and carries high mortality. We present a case of spontaneous hemoperitoneum secondary to umbilical vein rupture in a male patient.

Keywords:

Hemoperitoneum, umbilical vein rupture, cirrhosis,

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Ellis H, Griffiths PW, Mclntyre A. Haemoperitoneum: A record of 129 consecutive patients with notes on some unusual cases. Br J Surg 1958; 45: 606-10.
Fox L, Crane SA, Bidari C, et al. Intra- abdominal hemorrhage from ruptured varices. Arc Surg 1982; 953-6.
DeSitter L, Rector WG. The significance of bloody ascites in pati- ents with cirrhosis. Am J Gastroenterol 1984; 79: 136-8.
Lyon DT, Mantia AG, Schubert TT. Hemoperitoneum from a ruptu- red varix in cirrhosis: case report and literature review. Am J Gastroenterol 1979; 71: 611-6.
Moncure AC, Waltman AC, Vandersalm TL, et al. Gastrointestinal hemorrhage from adhesion -related mesenteric varices. Ann Surg 1976; 183: 24-9. BEKTAŞ ve ark. AG 46
Dumont AG, Mulholland JH. Flow rate and composition of thoracic duct lymph in patients with cirrhosis. N Engl J Med 1960; 263: 471- 5.
Runyon BA. Paracentesis of ascitic fluid: a safe procedure. Arch Intern Med 1986; 146: 2259-61.
Shapero TF, Bourne RH, Goodall RG: Intra- abdominal beeding from variceal vessels in cirrhosis. Gastroenterology 1978; 74: 128-9.
Akriviadis AE. Hemoperitoneum in patients with ascites. Am J Gastroenterol 1997; 92: 567-75.