Bleeding into the abdominal cavity

Bleeding into the abdominal cavity . There are two mechanisms of shock that complicate each other: hemorrhagic shock and neurogenic shock. Causes - trauma to the parenchymal organs (liver, spleen); Abnormal ectopic pregnancy, rupture of aortic aneurysm, rupture of hemangioma or other liver tumors, spontaneous rupture of the spleen in malaria, slippage of ligatures from vessels after operations.

Symptoms are characteristic for internal bleeding (weakness, dizziness, cold sweat, tachycardia, arterial hypotension, collapse). With profuse bleeding, there may be pain in the abdomen. In the analysis of blood - a drop in hemoglobin and hematocrit. When percussion of the abdomen is determined blunting in the sloping places of the abdomen, with palpation - diffuse painful resistance of the stretched abdominal wall with an increase in the size of the abdomen. Peristalsis of the intestine is usually audible badly. With vaginal examination, the overhang of the vaginal vault. In addition to these symptoms, laparoscopy, laparocentesis and puncture of the posterior vaginal fornix are important.

Treatment is operative - stopping bleeding with parallel replenishment of blood loss and other anti-shock measures. In severe condition, after opening the abdominal cavity and aspiration of blood initially stop bleeding with tamponade, fill the deficiency of the volume of circulating blood and only then finally stop the bleeding.

The prognosis depends on the cause of the bleeding.