• We present a case report of a previously undocumented incident of massive hemoperitoneum from a liver laceration secondary to vomiting. The patient presented with the complaint of vomiting and abdominal pain. Computed tomography revealed perihepatic and perisplenic fluid collections. With this evidence and a rapidly falling hematocrit, she underwent emergency laparotomy. Intraoperative findings included 3 L of blood in the abdomen and a liver laceration at the juncture of the liver and the falciform ligament.
(Arch Surg. 1992;127:1361)
Horvath KA, Glasgow AH. Massive Intra-abdominal Hemorrhage From a Hepatic Laceration Caused by Vomiting. Arch Surg. 1992;127(11):1361. doi:10.1001/archsurg.1992.01420110113022