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Congress: ECR25
Poster Number: C-12401
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-12401
Authorblock: R. Abdellaoui Andaloussi Maane, D. Danthine; Liège/BE
Disclosures:
Rayan Abdellaoui Andaloussi Maane: Nothing to disclose
Denis Danthine: Nothing to disclose
Keywords: Contrast agents, Emergency, Pelvis, CT, CT-Angiography, Contrast agent-intravenous, Education and training, Haemorrhage
Learning objectives Hemoperitoneum is a rare cause of consultation in the emergency room. It affects mostly young female patients. We reviewed the different gynecological and obstetrical etiologies of hemoperitneum in young female patient.
Read more Background We reviewed all the cases labelled hemoperitoneum in our Picture Archiving and Communication System and found diffenrent etiologies of hemoperitoneum in young female patients. The systematic review of the litterature permitted us ti complete our poster and pictural review.
Read more Findings and procedure details Hemoperitoneum is a rare cause of emergency room (ER) consultations. Its prevalence and sex ratio have only been studied once in the literature, based on data from four city-based hospitals in the USA over four years. This study demonstrated that spontaneous hemoperitoneum primarily affects women, with a sex ratio of 3:1 {1}. Since clinical signs are not specific, imaging techniques are crucial for diagnosing hemoperitoneum. The causes of hemoperitoneum are diverse and can be gynecological, iatrogenic, tumoral, infectious, vascular, or digestive...
Read more Conclusion Hemoperitoneum is a rare cause of consultation in the ER. The most affected population appears to be young women, and among this group, gynecological and obstetrical causes are predominant. Early diagnosis and treatment are essential for the favorable outcome of a hemoperitoneum. CECT scan is the cornerstone to determine the etiology. 
Read more References Scheinfeld, M.H., Schwartz, C., Jain, V.R., et al. (2021). Non-traumatic hemoperitoneum in the ED setting: causes, characteristics, prevalence, and sex differences. Abdom Radiol, 46, 441–448. Millet, I., Pages, E.B., Alili, C., et al. (2014). Hémopéritoine, comment gérer? Imagerie de la Femme, 24, 84-91. Mummert, T., Gnugnoli, D.M. (2023). Ectopic Pregnancy. StatPearls Publishing. Wigniolle, I., et al. (2013). Spontaneous rupture of a uterine myoma. J Gynecol Obstet Biol Reprod (Paris), 42(7), 703-4. Lotterman, S. (2008). Massive hemoperitoneum due to uterine leiomyoma rupture....
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