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November 1992

Massive Intra-abdominal Hemorrhage From a Hepatic Laceration Caused by Vomiting

Author Affiliations

From the Departments of Surgery, Brigham and Women's Hospital, Boston, Mass (Dr Horvath) and Norwood (Mass) Hospital (Dr Glasgow).

Arch Surg. 1992;127(11):1361. doi:10.1001/archsurg.1992.01420110113022

• 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)