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Inicio Cirugía Española (English Edition) Massive Hemoperitoneum due to a Ruptured Umbilical Vein in a Cirrhotic Patient
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Vol. 95. Issue 4.
Pages 229 (April 2017)
Vol. 95. Issue 4.
Pages 229 (April 2017)
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DOI: 10.1016/j.cireng.2017.05.002
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Massive Hemoperitoneum due to a Ruptured Umbilical Vein in a Cirrhotic Patient
Hemoperitoneo masivo por rotura de vena umbilical en paciente cirrótico
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Carmen García Bernardoa,
Corresponding author
cmgbernardo2@hotmail.com

Corresponding author.
, Elisa Contreras Saiza, Raquel Rodríguez Uríaa, Sara Gálvez Garcíab
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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The patient is a 46-year-old woman diagnosed 6 months earlier with alcoholic cirrhosis. She came to the ER with abdominal pain in the umbilical region and flanks. Blood workup detected anemia (hemoglobin: 7.8). The gastroenterology department ruled out digestive tract bleeding. In the emergency room, she presented hypotension and cardiorespiratory arrest. CT angiography revealed a cirrhotic liver, and massive hemoperitoneum with contrast extravasation in the repermeabilized umbilical vein (Figs. 1 and 2). Laparotomy showed hemoperitoneum, cirrhosis with repermeabilization of the umbilical vein, with no other signs of portal hypertension. The umbilical vein was ligated and the hemoperitoneum evacuated. The patient developed irreversible multiple organ failure and died on the seventh day post-op.

Fig. 1
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Fig. 2
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Please cite this article as: García Bernardo C, Contreras Saiz E, Rodríguez Uría R, Gálvez García S. Hemoperitoneo masivo por rotura de vena umbilical en paciente cirrótico. Cir Esp. 2017;95:229.

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