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Case Reports in Hepatology
Volume 2017 (2017), Article ID 1829676, 3 pages
https://doi.org/10.1155/2017/1829676
Case Report

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

Divisions of Gastroenterology & Hepatology, University of Nebraska Medical Center, 982000 Nebraska Medical Center, Omaha, NE 68198-2000, USA

Correspondence should be addressed to Derrick D. Eichele; ude.cmnu@elehcie.kcirred

Received 8 May 2017; Accepted 3 July 2017; Published 3 August 2017

Academic Editor: Melanie Deutsch

Copyright © 2017 Derrick D. Eichele. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival.