Hemoperitoneum in a Cirrhotic Patient Due to Rupture of Retroperitoneal Varix

Table 1

Summary of Presentation, Management and Results of all 35 cases.

Patients n: 35 (%)
Signs and symptoms
Hypotension or shock	24 (68.6%)
Abdominal pain	23 (65.7%)
Abdominal distention	15 (42.8%)
Diagnosis
Paracentesis	22 (62.8%)
Arteriography	6 (17.1%)
Source of bleeding*
Umbilical veins	7 (20%)
Retzius veins	6 (17.1%)
Retroperitoneal varices	5 (14.3%)
Other intraperitoneal sources	19 (54.2%)
Treatment ^#
Variceal or vein ligation	27 (77.1%)
Clinical management	6 (17.1%)
Portocaval shunt	3 (8.6%)
Arteriography (embolization)	1 (2.8%)
Outcome
Death	23 (65,7%)
Survival	12 (34,3%)

^∗Some patients had more than one source of bleeding.
^#Some patients were submitted to more than one treatment.