Ragupathi K, Bloom A, Pai N
J Clin Gastroenterol. 1985 Dec;7(6):537-8. doi: 10.1097/00004836-198512000-00020.
We report a patient with hemoperitoneum from rupture of intraperitoneal varices. Hemoperitoneum is rare. Nevertheless, it should be easily recognized in a patient with abdominal pain and distension, a falling hematocrit in the absence of external blood loss, and gross blood in the abdominal fluid. The syndrome is another justification for early paracentesis in patients with abdominal fluid. Mortality remains high despite surgical correction of the bleeding and reflects the severity of the underlying liver disorder.
我们报告一例因腹膜内静脉曲张破裂导致腹腔积血的患者。腹腔积血较为罕见。然而，对于出现腹痛和腹胀、在无外出血情况下血细胞比容下降且腹腔积液中有肉眼可见血液的患者，应易于识别该病症。该综合征是对有腹腔积液患者早期进行腹腔穿刺术的另一个理由。尽管对出血进行了手术纠正，但死亡率仍然很高，这反映了潜在肝脏疾病的严重程度。
