Omental venous malformation: a rare cause of spontaneous haemoperitoneum

BMJ Case Rep. 2022 Dec 2;15(12):e250695. doi: 10.1136/bcr-2022-250695.

Abstract

Spontaneous haemoperitoneum is a rare condition with a variety of aetiologies. Regardless of the cause, it is invariably a life-threatening condition that requires urgent diagnosis and management. The most common causes of spontaneous haemoperitoneum include gynaecological, hepatic, splenic and vascular causes. However, here, we present a rare case of spontaneous haemoperitoneum secondary to idiopathic omental venous malformation.Our patient presented with acute onset of right iliac fossa pain, and a CT scan revealed a massive haemoperitoneum. A laparoscopic converted to open laparotomy was performed to diagnose and treat the patient. We discuss the management approach for such patients with spontaneous haemoperitoneum.

Keywords: General surgery; Radiology.

Publication types

  • Case Reports

MeSH terms

  • Hemoperitoneum* / diagnostic imaging
  • Hemoperitoneum* / etiology
  • Hemoperitoneum* / surgery
  • Humans
  • Laparotomy
  • Omentum*
  • Rare Diseases
  • Tomography, X-Ray Computed