Mujer de 46 años diagnosticada hace 6 meses de cirrosis por alcohol. Acude a urgencias por dolor abdominal en mesogastrio y flancos. Analítica con anemización (hemoglobina: 7,8). El servicio de digestivo descarta sangrado del tracto digestivo. En urgencias presenta hipotensión y parada cardiorrespiratoria. Se realiza angio-TC observando hígado cirrótico, hemoperitoneo masivo con extravasación de contraste en la vena umbilical repermeabilizada (figs. 1 y 2). La laparotomía muestra hemoperitoneo, cirrosis con repermeabilización de la vena umbilical, sin otros signos de hipertensión. Se realiza ligadura de la vena umbilial, y evacuación del hemoperitoneo. Desarrolla fallo multiorgánico irreversible, siendo exitus al séptimo día postintervención.
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Acude a urgencias por dolor abdominal en mesogastrio y flancos. Analítica con anemización (hemoglobina: 7,8). El servicio de digestivo descarta sangrado del tracto digestivo. En urgencias presenta hipotensión y parada cardiorrespiratoria. Se realiza angio-TC observando hígado cirrótico, hemoperitoneo masivo con extravasación de contraste en la vena umbilical repermeabilizada (<a class="elsevierStyleCrossRefs" href="#fig0005">figs. 1 y 2</a>). La laparotomía muestra hemoperitoneo, cirrosis con repermeabilización de la vena umbilical, sin otros signos de hipertensión. Se realiza ligadura de la vena umbilial, y evacuación del hemoperitoneo. 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