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Spontaneous hemoperitoneum: a bloody mess.
Brian C Lucey1, Jose C Varghese, Stephan W Anderson
1Department of Radiology, Boston VA Healthcare System, 1400 VFW Parkway, West Roxbury, MA 02132, USA. brian.lucey@bmc.org
Emergency Radiology
|March 8, 2007
Summary
Spontaneous hemoperitoneum, a serious condition causing acute abdominal pain, is often diagnosed using imaging like computed tomography (CT). This review details its causes and imaging findings.
Area of Science:
- Radiology
- Emergency Medicine
- Gastroenterology
Background:
- Spontaneous hemoperitoneum is a critical condition often presenting with acute abdominal pain.
- Diagnostic imaging is crucial for identifying the source and extent of bleeding.
Purpose of the Study:
- To review the common imaging findings of spontaneous hemoperitoneum.
- To detail the varied etiologies and clinical significance of spontaneous hemoperitoneum.
Main Methods:
- Review of literature on spontaneous hemoperitoneum.
- Analysis of imaging modalities including computed tomography (CT), sonography, and magnetic resonance imaging (MRI).
Main Results:
- Common presentations include acute abdominal pain.
- Etiologies are diverse, encompassing gynecologic, hepatic, splenic, vascular, and coagulopathic causes.
- Imaging plays a key role in diagnosis and workup.
Conclusions:
- Spontaneous hemoperitoneum requires prompt diagnosis and management.
- Understanding imaging findings aids in identifying underlying causes.
- Multimodality imaging is essential for comprehensive evaluation.
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