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Ruptured Short Gastric Vein Associated With Protracted Vomiting

Ruptured Short Gastric Vein Associated With Protracted Vomiting Abstract Protracted vomiting has been reported to produce gastrointestinal bleeding.1-4 However, these reports have emphasized disruption of continuity of a viscus, most commonly the esophagus, cardioesophageal junction, or stomach. Reports of intra-abdominal hemorrhage unassociated with injury to the gastrointestinal tract have emphasized some predisposing pathologic state. Arteriosclerosis and hypertension have been frequently associated with arterial hemorrhage.5,6 In the younger population spontaneous intraperitoneal hemorrhage has been associated with cirrhosis,7,8 pregnancy,9 and congenital anomalies.10 This report of intra-abdominal hemorrhage from a short gastric vein occurred after an episode of prolonged vomiting. This case was unusual because the site of blood loss was previously unrecorded and because no predisposing pathologic state was recognized. Report of a Case A 21-year-old white man was admitted to the Emergency Room of the Peter Bent Brigham Hospital with a 36-hour history of generalized abdominal pain. Forty-eight hours prior to admission the patient began References 1. Machler SA: Spontaneous rupture of the esophagus . Surg Gynec Obstet 95:345-355, 1952. 2. Derbes VJ, Mitchell RE: Rupture of the esophagus . Surgery 39:688-709, 1956. 3. Fleischner FG: Hiatal hernia complex . JAMA 162:183-191, 1956.Crossref 4. Mallery GK, Weiss S: Hemorrhage from laceration of the cardiac orifice of the stomach due to vomiting . Amer J Med Sci 178:506-515, 1929.Crossref 5. Brewer AC, Marcus R: Massive spontaneous intraperitoneal hemorrhage . Brit J Surg 36:198-200, 1948.Crossref 6. Bronne MK, Glashan RN: Abdominal apolexy . Brit J Surg 52:362-366, 1965.Crossref 7. Pyrah LN, Stanfield FR, Garland HG: Hemoperitoneum due to a spontaneous rupture of the splenic vein . Brit Med J 1:810, 1929. 8. Reimann DL, Cowley RA: Obscure causes of intraperitoneal hemorrhage . Amer J Surg 71:328-334, 1946.Crossref 9. Barber MC: Intra-abdominal hemorrhage associated with labor . Brit Med J 2:203-204, 1909.Crossref 10. James TGI, Wales MD: Retroperitoneal hemorrhage . Lancet 2:1123-1124, 1930.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Ruptured Short Gastric Vein Associated With Protracted Vomiting

Archives of Surgery , Volume 100 (3) – Mar 1, 1970

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1970.01340210097027
Publisher site
See Article on Publisher Site

Abstract

Abstract Protracted vomiting has been reported to produce gastrointestinal bleeding.1-4 However, these reports have emphasized disruption of continuity of a viscus, most commonly the esophagus, cardioesophageal junction, or stomach. Reports of intra-abdominal hemorrhage unassociated with injury to the gastrointestinal tract have emphasized some predisposing pathologic state. Arteriosclerosis and hypertension have been frequently associated with arterial hemorrhage.5,6 In the younger population spontaneous intraperitoneal hemorrhage has been associated with cirrhosis,7,8 pregnancy,9 and congenital anomalies.10 This report of intra-abdominal hemorrhage from a short gastric vein occurred after an episode of prolonged vomiting. This case was unusual because the site of blood loss was previously unrecorded and because no predisposing pathologic state was recognized. Report of a Case A 21-year-old white man was admitted to the Emergency Room of the Peter Bent Brigham Hospital with a 36-hour history of generalized abdominal pain. Forty-eight hours prior to admission the patient began References 1. Machler SA: Spontaneous rupture of the esophagus . Surg Gynec Obstet 95:345-355, 1952. 2. Derbes VJ, Mitchell RE: Rupture of the esophagus . Surgery 39:688-709, 1956. 3. Fleischner FG: Hiatal hernia complex . JAMA 162:183-191, 1956.Crossref 4. Mallery GK, Weiss S: Hemorrhage from laceration of the cardiac orifice of the stomach due to vomiting . Amer J Med Sci 178:506-515, 1929.Crossref 5. Brewer AC, Marcus R: Massive spontaneous intraperitoneal hemorrhage . Brit J Surg 36:198-200, 1948.Crossref 6. Bronne MK, Glashan RN: Abdominal apolexy . Brit J Surg 52:362-366, 1965.Crossref 7. Pyrah LN, Stanfield FR, Garland HG: Hemoperitoneum due to a spontaneous rupture of the splenic vein . Brit Med J 1:810, 1929. 8. Reimann DL, Cowley RA: Obscure causes of intraperitoneal hemorrhage . Amer J Surg 71:328-334, 1946.Crossref 9. Barber MC: Intra-abdominal hemorrhage associated with labor . Brit Med J 2:203-204, 1909.Crossref 10. James TGI, Wales MD: Retroperitoneal hemorrhage . Lancet 2:1123-1124, 1930.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1970

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