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Massive Intra-abdominal Hemorrhage From a Hepatic Laceration Caused by Vomiting
Keith A. Horvath, MD;
Arthur H. Glasgow, MD
Arch Surg. 1992;127(11):1361.
Abstract
We present a case report of a previously undocumented incident of massive hemoperitoneum from a liver laceration secondary to vomiting. The patient presented with the complaint of vomiting and abdominal pain. Computed tomography revealed perihepatic and perisplenic fluid collections. With this evidence and a rapidly falling hematocrit, she underwent emergency laparotomy. Intraoperative findings included 3 L of blood in the abdomen and a liver laceration at the juncture of the liver and the falciform ligament.
(Arch Surg. 1992;127:1361)
Author Affiliations
From the Departments of Surgery, Brigham and Women's Hospital, Boston, Mass (Dr Horvath) and Norwood (Mass) Hospital (Dr Glasgow).
Footnotes
Accepted for publication October 20, 1991.
Reprint requests to the Department of Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115 (Dr Horvath).
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