Spontaneous haemoperitoneum caused by ruptured varices in a patient with non-cirrhotic portal hypertension.Eur J Gastroenterol Hepatol. 1995 Jan; 7(1):87-90.EJ
To report the case of a patient with a spontaneous, massive and fatal intraperitoneal haemorrhage from porto-systemic collaterals, caused by portal hypertension. We also review the cases of 18 cirrhotic patients with spontaneous bleeding of intraperitoneal varices and no previous abdominal surgery reported in the literature.
A 21-year-old man with nodular regenerative hyperplasia, who had not undergone any previous surgery and who had large oesophageal varices diagnosed 3 years previously.
To our knowledge, this is the first case of spontaneous intra-abdominal bleeding from collateral vessels in a non-cirrhotic patient.