What is hemoperitoneum?
Hemoperitoneum concerns a state where there is blood in the peritoneal cavity. It is also called hematoperitoneum. Conditions with associated hemoperitone are considered to be medical emergencies, as the spilling of blood in the peritoneal cavity indicates the rupture of organs. In addition, because the blood is toxic irritating to cells outside the blood vessels, it must be immediately cleaned. When blood is blood in the peritoneal cavity, it usually manifests externally as a color of the abdomen.
The different organs are contained in the peritoneal cavity. These bodies include parts of the gastrointestinal tract such as stomach, intestines, liver, spleen and abdominal. Parts of the reproductive tract, such as the uterus, ovaries and fallopian tubes, are also located in the peritoneal cavity. Blood vessels such as celiac arteries, superior mesenteric artery and lower mesenteric artery, provide most blood supply in peritoneal cavity.
Hemoperitoneum occurs when some of the organs or blood vessels indicate perforates, rupture, or becomes a subjugated trauma.For example, with penetration or dull trauma into the abdomen can be injured by a spleen or liver. When there is mechanical damage to these organs, the lust of blood becomes inevitable, leading to a hematoperitoneum.
The common cause of hematoperitoneum in women is ectopic pregnancy. In ectopic pregnancy embryo implants in parts of the female reproductive tract that are not ideal for growth and development. The most common places of ectopic pregnancy are the vessel tubes and ovaries. As the embryo exceeds the blood supply and increases the size, the rupture becomes immediate. After rupture, the blood is spilled into the cavity and results in hemoperitoneum.
Another reproductive organ that could affect the hematoperitoneemcular organ with a rich blood supply. When it bursts, a large amount of blood spills into the peritoneal cavity. Previous Caesarean section is the most common predisposition factor PRask of the uterus and subsequent hemoperitoneum.
stomach ulcers are a gastroenterological cause of hemoperitoneum, although less common. The most common causes of stomach ulcers are the permanently high levels of gastric acid acid and colonization of the mucosa of the stomach bacteria Helicobacter pylori . The mucosa erosion occurs with the ulcer. If this process is not arrested or recovered, erosion reaches the outer parts of the stomach tube and a hole is formed. There are also torn blood vessels during perforation so that hemoperitoneum can follow.
When hemoperitone is occurred, immediate surgery is performed to locate the source of bleeding. If the spleen is very involved, it is removed by the procedure called splenectomy. In cases where the liver is, surgery can decide to clean the mushroom and serve thrombin. When it comes to the main abdominal artery, they are clamped and ligated. Blood is cleaned and blood coagulants are administered to prevent further damage.