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Hemoperitoneum caused by spontaneous rupture of the umbilical vein in cirrhosis



Hemoperitoneum caused by spontaneous rupture of the umbilical vein in cirrhosis



Clinical Gastroenterology and Hepatology 11(1): A38



We report a case of a 64 years-old male patient diagnosed from alcoholic liver cirrhosis and portal hypertension who presented with sudden mesogastric abdominal pain and subsequent syncope. At admission he was found to be hypotensive and with a low hemoglobin level. CT scan after hemodynamic stabilization showed hemoperitoneum with a prominent repermeabilised umbilical vein with a contrast leak. The patient underwent ligation of the ruptured part and disconnection of the rest of the vein from the portal circulation. No bleeding recurrence was observed and after solving edemas and ascitic fluid leakage from the operative incision with fluid restriction and diuretic treatment the patient was discharged home.

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Accession: 036506766

Download citation: RISBibTeXText

PMID: 22835582

DOI: 10.1016/j.cgh.2012.07.003


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