Massive acute haemoperitoneum and shock from a ruptured ovarian varix

Nobuharu Takehara, Takehara N, Ikkei Takashimizu, Takashimizu I, Kazuyuki Yazawa, Yazawa K
BMJ case reports · 2012 · vol. 2012 · doi:10.1136/bcr.03.2012.6028 · PMID:22761218 · PMC3391400
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A 38-year-old woman with shock and massive haemoperitoneum underwent urgent surgical ligation of a ruptured ovarian varix, which successfully controlled the bleeding and led to full recovery.

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Abstract

A 38-year-old woman presented with shock and severe abdominal pain. Abdominal CT scanning demonstrated massive ascites, which was highly suggestive of haemoperitoneum. Diagnostic paracentesis confirmed haemoperitoneum. Urgent operative treatment with ligation of a ruptured ovarian varix successfully controlled the bleeding. She eventually made a full recovery.

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MeSH descriptors

Hemoperitoneum Ovary Shock Varicose Veins Acute Disease Adult Diagnosis, Differential Female Hemoperitoneum Hemoperitoneum Humans Laparotomy Ligation Ovary Ovary Paracentesis Paracentesis Rupture, Spontaneous Shock Shock

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