Massive acute haemoperitoneum and shock from a ruptured ovarian varix

Nobuharu Takehara; Ikkei Takashimizu; Kazuyuki Yazawa

doi:10.1136/bcr.03.2012.6028

Massive acute haemoperitoneum and shock from a ruptured ovarian varix

BMJ Case Rep. 2012 Jul 3:2012:bcr0320126028. doi: 10.1136/bcr.03.2012.6028.

Authors

Nobuharu Takehara¹, Ikkei Takashimizu, Kazuyuki Yazawa

Affiliation

¹ Trauma and Critical Care Center, Suwa Red Cross Hospital, Suwa City, Japan.

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.

Publication types

Case Reports

MeSH terms

Acute Disease
Adult
Diagnosis, Differential
Female
Hemoperitoneum / diagnosis
Hemoperitoneum / etiology*
Humans
Laparotomy
Ligation
Ovary / blood supply*
Ovary / surgery
Paracentesis / methods
Rupture, Spontaneous
Shock / diagnosis
Shock / etiology*
Shock / surgery
Tomography, X-Ray Computed
Varicose Veins / complications*
Varicose Veins / diagnosis
Varicose Veins / surgery