Blood in the belly: CT findings of hemoperitoneum
Hemoperitoneum may occur in various emergent conditions. In the trauma setting, evidence of intraperitoneal blood depicted at computed tomography (CT) should lead the radiologist to conduct a careful search of images for the injured visceral organ (the liver or spleen). Specific CT signs, such as a...
Saved in:
Published in | Radiographics Vol. 27; no. 1; p. 109 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.01.2007
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | Hemoperitoneum may occur in various emergent conditions. In the trauma setting, evidence of intraperitoneal blood depicted at computed tomography (CT) should lead the radiologist to conduct a careful search of images for the injured visceral organ (the liver or spleen). Specific CT signs, such as a sentinel clot or extravasation of intravascular contrast material, may indicate the source of bleeding and help direct management. In addition, the configuration of accumulated blood may help identify the injured organ; for example, triangular fluid collections are observed in the mesentery most often in the setting of bowel or mesenteric injury. Less commonly, hemoperitoneum may have a nontraumatic origin. Iatrogenic hemoperitoneum may occur as a complication of surgery or other interventional procedures in the abdominal cavity or as a result of anticoagulation therapy. Hemoperitoneum also may be seen in the setting of blood dyscrasias such as hemophilia and polycythemia vera. Tumor-associated hemorrhage, which most often occurs in hepatocellular carcinoma, hepatic adenoma, or vascular metastatic disease, also may produce hemoperitoneum. Other potential causes of nontraumatic hemoperitoneum are gynecologic conditions such as hemorrhage or rupture of an ovarian cyst and rupture of the gestational sac in ectopic pregnancy, and hepatic hematoma in syndromic hemolysis with elevated liver enzymes and low platelet count (HELLP syndrome). Vascular lesions (visceral artery aneurysms and pseudoaneurysms) that occur in systemic vascular diseases such as Ehlers-Danlos syndrome or in pancreatitis are another less common source of hemoperitoneum. |
---|---|
AbstractList | Hemoperitoneum may occur in various emergent conditions. In the trauma setting, evidence of intraperitoneal blood depicted at computed tomography (CT) should lead the radiologist to conduct a careful search of images for the injured visceral organ (the liver or spleen). Specific CT signs, such as a sentinel clot or extravasation of intravascular contrast material, may indicate the source of bleeding and help direct management. In addition, the configuration of accumulated blood may help identify the injured organ; for example, triangular fluid collections are observed in the mesentery most often in the setting of bowel or mesenteric injury. Less commonly, hemoperitoneum may have a nontraumatic origin. Iatrogenic hemoperitoneum may occur as a complication of surgery or other interventional procedures in the abdominal cavity or as a result of anticoagulation therapy. Hemoperitoneum also may be seen in the setting of blood dyscrasias such as hemophilia and polycythemia vera. Tumor-associated hemorrhage, which most often occurs in hepatocellular carcinoma, hepatic adenoma, or vascular metastatic disease, also may produce hemoperitoneum. Other potential causes of nontraumatic hemoperitoneum are gynecologic conditions such as hemorrhage or rupture of an ovarian cyst and rupture of the gestational sac in ectopic pregnancy, and hepatic hematoma in syndromic hemolysis with elevated liver enzymes and low platelet count (HELLP syndrome). Vascular lesions (visceral artery aneurysms and pseudoaneurysms) that occur in systemic vascular diseases such as Ehlers-Danlos syndrome or in pancreatitis are another less common source of hemoperitoneum. |
Author | Wang, Lisa Gratz, Brett Bhalla, Sanjeev Peterson, Christine M Rucker, Creed Lubner, Meghan Menias, Christine |
Author_xml | – sequence: 1 givenname: Meghan surname: Lubner fullname: Lubner, Meghan email: lubnerm@mir.wustl.edu organization: Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd, Box 8131, St Louis, MO 63110, USA. lubnerm@mir.wustl.edu – sequence: 2 givenname: Christine surname: Menias fullname: Menias, Christine – sequence: 3 givenname: Creed surname: Rucker fullname: Rucker, Creed – sequence: 4 givenname: Sanjeev surname: Bhalla fullname: Bhalla, Sanjeev – sequence: 5 givenname: Christine M surname: Peterson fullname: Peterson, Christine M – sequence: 6 givenname: Lisa surname: Wang fullname: Wang, Lisa – sequence: 7 givenname: Brett surname: Gratz fullname: Gratz, Brett |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/17235002$$D View this record in MEDLINE/PubMed |
BookMark | eNo1jrtOwzAUQC0Eog_YmJF_IO29flw7bBAVqFSJpcyVnThtUGJHSTr070ECprOdcxbsOqYYGHtAWCEqux6OK2EQSIMSV2yOWpgMpZAzthjHLwBU2tItm6ERUgOIOcOXNqWKN5FPp8B9aNvLEy_2vG5i1cTjyFPNT6FLfRia6Sd27u7YTe3aMdz_cck-Xzf74j3bfbxti-ddViqhpkzLEj3ZSiqgUmmXex-Ml8q7QLkmRzKQKiUI8h6lBJuDNcoSWWt05UAs2eOvtz_7LlSHfmg6N1wO_-_iG-DeQxc |
CitedBy_id | crossref_primary_10_1016_j_rard_2014_10_007 crossref_primary_10_3390_diagnostics13061021 crossref_primary_10_1007_s00261_019_01926_3 crossref_primary_10_1136_jramc_158_02_04 crossref_primary_10_1007_s00261_020_02663_8 crossref_primary_10_1148_ryai_2020190220 crossref_primary_10_3348_kjr_2010_11_1_123 crossref_primary_10_1148_rg_335125072 crossref_primary_10_1259_bjrcr_20150216 crossref_primary_10_1007_s10140_011_0971_6 crossref_primary_10_1007_s00268_009_0215_z crossref_primary_10_1097_PEC_0000000000002189 crossref_primary_10_1007_s12328_012_0349_7 crossref_primary_10_3390_diagnostics12061323 crossref_primary_10_1007_s00261_012_9969_0 crossref_primary_10_37349_etat_2023_00138 crossref_primary_10_1007_s12024_012_9384_4 crossref_primary_10_1016_j_carj_2012_11_006 crossref_primary_10_1007_s00261_012_9899_x crossref_primary_10_1007_s00428_012_1257_4 crossref_primary_10_1007_s10140_010_0929_0 crossref_primary_10_1067_j_cpradiol_2014_04_002 crossref_primary_10_1053_j_ro_2019_11_001 crossref_primary_10_1155_2015_169582 crossref_primary_10_1007_s00276_012_1057_1 crossref_primary_10_1148_rg_2017160067 crossref_primary_10_1007_s10140_017_1515_5 crossref_primary_10_1016_j_crad_2015_03_007 crossref_primary_10_1148_rg_323115099 crossref_primary_10_1016_j_ijsu_2020_03_022 crossref_primary_10_1089_gyn_2013_0083 crossref_primary_10_12688_f1000research_25961_1 crossref_primary_10_1016_j_clinimag_2021_06_025 crossref_primary_10_3389_fonc_2022_927123 crossref_primary_10_3390_diagnostics12102542 crossref_primary_10_12688_f1000research_25961_2 crossref_primary_10_1007_s13244_016_0500_y crossref_primary_10_1016_j_diii_2023_11_002 crossref_primary_10_1111_jsap_13323 crossref_primary_10_1053_j_ro_2014_01_004 crossref_primary_10_2214_AJR_19_22749 crossref_primary_10_1016_S1499_3872_11_60109_4 crossref_primary_10_2214_AJR_08_1836 crossref_primary_10_1007_s12024_022_00486_1 crossref_primary_10_1055_s_0042_1758874 crossref_primary_10_1148_rg_2021200181 crossref_primary_10_1016_j_rx_2022_09_006 crossref_primary_10_1007_s00595_009_4280_6 crossref_primary_10_1016_j_ajem_2018_10_016 crossref_primary_10_1111_hepr_12498 crossref_primary_10_1002_ccr3_427 crossref_primary_10_1016_S1879_8527_12_55424_9 crossref_primary_10_1007_s00261_021_03336_w crossref_primary_10_1016_j_ejrad_2007_07_013 crossref_primary_10_1007_s00414_020_02472_0 crossref_primary_10_1136_bcr_2014_207849 crossref_primary_10_1186_s13244_019_0808_5 crossref_primary_10_1186_1470_7330_14_18 crossref_primary_10_1148_rg_301095052 crossref_primary_10_1007_s10396_017_0812_7 crossref_primary_10_1016_j_ejrad_2017_05_023 crossref_primary_10_1007_s00261_019_02332_5 crossref_primary_10_12677_ACM_2023_13112495 crossref_primary_10_1371_journal_pone_0304993 crossref_primary_10_1007_s12185_008_0236_7 crossref_primary_10_1055_a_1967_2134 crossref_primary_10_1111_vru_12844 crossref_primary_10_1136_bcr_2020_237860 crossref_primary_10_1097_MEG_0b013e3283579445 crossref_primary_10_1016_j_carj_2013_02_001 crossref_primary_10_36106_paripex_6407413 crossref_primary_10_1007_s00261_007_9353_7 crossref_primary_10_1590_S0100_39842012000500009 crossref_primary_10_1067_j_cpradiol_2022_01_002 crossref_primary_10_1258_ar_2012_110672 crossref_primary_10_1111_j_1742_1241_2008_01952_x crossref_primary_10_1155_2016_7082387 crossref_primary_10_1007_s00270_010_9956_1 crossref_primary_10_1007_s10140_022_02085_7 crossref_primary_10_1148_rg_336135508 crossref_primary_10_1016_j_clinimag_2012_08_009 crossref_primary_10_1111_vru_12439 crossref_primary_10_2478_rojost_2020_0013 crossref_primary_10_1097_PAF_0000000000000180 crossref_primary_10_1016_j_injury_2012_01_012 crossref_primary_10_1016_j_rxeng_2022_09_011 crossref_primary_10_1148_rg_344140082 crossref_primary_10_1148_rg_2018170138 crossref_primary_10_1186_1865_1380_4_13 crossref_primary_10_1053_j_ro_2020_07_001 crossref_primary_10_1016_j_ejrex_2010_12_002 crossref_primary_10_3348_kjr_2011_12_1_59 crossref_primary_10_1097_01_CDR_0000360282_07719_92 crossref_primary_10_1016_j_rcl_2019_08_007 crossref_primary_10_1007_s10140_007_0666_1 crossref_primary_10_1007_s10140_013_1103_2 crossref_primary_10_1148_rg_2019190192 crossref_primary_10_1002_vrc2_173 crossref_primary_10_1007_s11604_015_0452_z crossref_primary_10_1590_S0100_39842009000400016 crossref_primary_10_3348_jksr_2010_63_6_531 crossref_primary_10_1007_s40134_015_0126_8 crossref_primary_10_1111_ans_17306 crossref_primary_10_1136_vetreccr_2018_000719 crossref_primary_10_1155_2014_252657 crossref_primary_10_1007_s00261_020_02699_w crossref_primary_10_1016_j_jemermed_2010_05_075 crossref_primary_10_3390_jpm13010134 crossref_primary_10_1148_rg_2021210043 crossref_primary_10_20408_jti_2020_0076 crossref_primary_10_1186_s12876_019_1018_9 crossref_primary_10_1067_j_cpradiol_2012_08_003 crossref_primary_10_3390_jcm8111852 crossref_primary_10_1111_vru_12931 crossref_primary_10_1007_s10140_008_0732_3 crossref_primary_10_3348_jksr_2014_70_5_335 |
ContentType | Journal Article |
Copyright | Copyright RSNA, 2007. |
Copyright_xml | – notice: Copyright RSNA, 2007. |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1148/rg.271065042 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1527-1323 |
ExternalDocumentID | 17235002 |
Genre | Research Support, Non-U.S. Gov't Journal Article Review |
GroupedDBID | --- .GJ 123 169 18M 2WC 34G 39C 4.4 53G 5RE 6PF 7FM AAWTL ABDQB ABOCM ACGFO ACWVV ADBBV AENEX AFOSN AJWWR ALMA_UNASSIGNED_HOLDINGS BAWUL CGR CS3 CUY CVF DIK DU5 E3Z EBS ECM EIF EJD F5P F9R GX1 H13 I4R MV1 NPM OK1 P2P SJN TR2 TRS TWZ USG W8F WOQ ZGI ZVN ZXP |
ID | FETCH-LOGICAL-c424t-53c1b68d3406c45a9bbe7b34bae6956a63e64c3026bb13308908748668875da02 |
IngestDate | Sat Sep 28 07:57:52 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Language | English |
License | Copyright RSNA, 2007. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c424t-53c1b68d3406c45a9bbe7b34bae6956a63e64c3026bb13308908748668875da02 |
OpenAccessLink | https://doi.org/10.1148/rg.271065042 |
PMID | 17235002 |
ParticipantIDs | pubmed_primary_17235002 |
PublicationCentury | 2000 |
PublicationDate | 2007 Jan-Feb |
PublicationDateYYYYMMDD | 2007-01-01 |
PublicationDate_xml | – month: 01 year: 2007 text: 2007 Jan-Feb |
PublicationDecade | 2000 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Radiographics |
PublicationTitleAlternate | Radiographics |
PublicationYear | 2007 |
SSID | ssj0014586 |
Score | 2.2927341 |
SecondaryResourceType | review_article |
Snippet | Hemoperitoneum may occur in various emergent conditions. In the trauma setting, evidence of intraperitoneal blood depicted at computed tomography (CT) should... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 109 |
SubjectTerms | Diagnosis, Differential Hemoperitoneum - diagnostic imaging Hemoperitoneum - etiology Humans Liver Diseases - complications Liver Diseases - diagnostic imaging Practice Guidelines as Topic Practice Patterns, Physicians Radiographic Image Enhancement - methods Splenic Diseases - complications Splenic Diseases - diagnostic imaging Tomography, X-Ray Computed - methods Tomography, X-Ray Computed - trends |
Title | Blood in the belly: CT findings of hemoperitoneum |
URI | https://www.ncbi.nlm.nih.gov/pubmed/17235002 |
Volume | 27 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LSwMxEA5VQbyI77fk4E22ZpNsdutNiyLS9iAt9FaSbNYH9EFpPfjrnWSz7bZUUC9hScg-8iWzM5mZLwhdhZoqUGMNGDmZCDjNSCBTGQaCkiQ2nGjhziJotsRThz93o26l0ihFLU0nqqq_VuaV_AdVqANcbZbsH5Cd3RQq4BrwhRIQhvJXGN_bqPMiUtF6EBx9U7197TzR9jxOpwr2h5bO2LJue96FgpBbpu85Y3Up5L0xVT4Hpmle3-Zzp2mj8kp8BCV__MssNqM-Nj5Zylr49pwWmW87Dz6M-VzYYYhLOwzGS0UaB2C2srLYzFP6F6ZHLgNDx3ewQjZzm28wfq1S0GpAMcxZtUowjfoOJ1CpWETIL1qXmLKLpjW0FidW2rXszo33KPEoEUXiA09uyq9hiWN91yXjwikZ7R207a0DfJdDvYsqZrCHNps-_mEfhQ5x_D7AgDh2iN_iehsXeONhhhfxPkCdx4d2_Snwh14EmlM-CSKmQyWSlIGmpXkka0qZWDGupBFgy0rBjOCagemsVMgYSWqwqHgiBPwtolQSeojWB_CAY4SJrGnoBGtPxlwYrhIZskgqTWia0Zo-QUf5x_ZGObNJrxiG0x9bztDWfIqco40MlpK5AL1soi7dgH8DxuM0Ig |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Blood+in+the+belly%3A+CT+findings+of+hemoperitoneum&rft.jtitle=Radiographics&rft.au=Lubner%2C+Meghan&rft.au=Menias%2C+Christine&rft.au=Rucker%2C+Creed&rft.au=Bhalla%2C+Sanjeev&rft.date=2007-01-01&rft.eissn=1527-1323&rft.volume=27&rft.issue=1&rft.spage=109&rft_id=info:doi/10.1148%2Frg.271065042&rft_id=info%3Apmid%2F17235002&rft_id=info%3Apmid%2F17235002&rft.externalDocID=17235002 |