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Hemoperitoneum in patients with ascites

E A Akriviadis1

  • 1Fourth Medical Unit, University of Thessaloniki, Hippocration Hospital, Greece.

The American Journal of Gastroenterology
|April 1, 1997
PubMed
Summary

Hemoperitoneum in patients with ascites is a severe complication. Spontaneous bleeding often relates to the underlying cause, while acute rupture of varices or hepatocellular carcinoma requires urgent intervention.

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Internal Medicine

Background:

  • Hemoperitoneum is a serious complication in patients with ascites.
  • Understanding its pathophysiology and clinical presentation is crucial for effective management.

Purpose of the Study:

  • To review existing data on hemoperitoneum in patients with ascites.
  • To familiarize clinicians with current therapeutic options for managing this complication.

Main Methods:

  • Literature search of English-language articles (1988-1996) using MEDLINE.
  • Keywords: "hemoperitoneum" and "ascites".
  • Manual search of bibliographies for relevant studies.

Main Results:

  • Hemoperitoneum in ascites can be spontaneous, traumatic, or procedure-related.
  • Spontaneous bleeding may be insidious, even in cirrhosis.
  • Ruptured varices or hepatocellular carcinoma necessitate prompt surgical or interventional treatment.

Conclusions:

  • Hemoperitoneum is a severe complication of ascites, often linked to the primary disease.
  • Acute presentations from ruptured varices or hepatocellular carcinoma demand aggressive management.
  • An evaluation and treatment algorithm for cirrhosis patients with hemoperitoneum is proposed.

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