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.

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