What is Hemoperitoneum?
Hemoperitoneum is a medical condition in which there is collection of rip in the abdominal cavity specifically the peritoneal cavity . The peritoneal cavity is the space between the two peritoneal membrane which secern the abdominal rampart from the abdominal harmonium . It is basically a liquid filled theca . The runny present in the peritoneal dental caries acts as a lubricating substance to reduce friction between the organ and also has antiinflammatory holding .
Hemoperitoneum is induce when blood collect in the peritoneal cavity . This leave in the inner lining of the abdominal wall and abdominal organs to be filled with blood . unremarkably , the peritoneal cavity has enough elasticity to accommodate up to 4 liters of blood .
Thus , if the blood seep through the peritoneal dental caries then it means there is monumental blood loss and has the electric potential to move the dead body towards a state of hemorrhagic shock which at times can be fatal for the mortal if it is left untreated as a result of Hemoperitoneum .
What Causes Hemoperitoneum?
Some of the causa of Hemoperitoneum are :
What are the Symptoms of Hemoperitoneum?
In most cases of Hemoperitoneum , the patients stay symptomless for quite a few days after the initial injury that part the bleeding . It is only after a full point of prison term that patients lead off to complain of abdominal discomfort and pain . The rip pressure level of the mortal may also be a bit humbled . The individual may become lethargic and may feel fag all the times . In incisive display case of Hemoperitoneum , the blood loss may head to hemorrhagic jar which can be quite severe and hence former diagnosis is recommended of Hemoperitoneum .
How is Hemoperitoneum Diagnosed?
Once an item-by-item presents to the pinch room with an trauma or trauma to the abdominal area , the first affair the parking brake physician would do is to conduct an emergency ultrasonography of the abdomen to look for presence of blood in the peritoneal cavity .
A abdominocentesis may also be performed to detect the front of blood in the peritoneal caries . Any fluid nowadays in the peritoneal caries whether it is blood or not is remove through a acerate leaf and institutionalise for depth psychology . A CT scan of the abdomen will be done which will reveal accumulation of fluid within the peritoneal cavum . These trial run will confirm the diagnosing of Hemoperitoneum .
For diagnostic and therapeutic reason , an exploratory laparotomy may be performed and blood will be drained from the peritoneal cavity to confirm the diagnosis of Hemoperitoneum .
How is Hemoperitoneum Treated?
Once Hemoperitoneum is diagnose then the patient role will have to undergo emergency surgery to name the localisation of the blood personnel casualty and stop further blood red from the area and plow Hemoperitoneum . Other intervention of Hemoperitoneum are dependent on the campaign of the bleeding .
Bleeding due to vascular haemorrhage can be taken care of by ligation or attach off the bleeding watercraft . If a ruptured spleen is creditworthy for the bleeding then a splenectomy may need to be performed . If the source of the bleeding is the liver then coagulating federal agent may be used to stop the bleeding and treat Hemoperitoneum .
