Table 1 Differential diagnosis of spontaneous intraperitoneal hemorrhage
Organ system | Differential diagnosis |
|---|---|
Gynecological | Ectopic pregnancy |
Ruptured ovarian cyst | |
Uterine leiomyoma/leiomyosarcoma | |
Ovarian granulosa cell tumor | |
Ruptured corpus leuteum cyst | |
Hyperemesis gravidarum | |
Endometriosis | |
Spontaneous uterine rupture | |
Splenic | Chronic myelomonocytic leukemia |
Infectious mononucleosis | |
Spontaneous splenic rupture | |
Iatrogentic | |
Spontaneous rupture of splenic vein | |
Torsion and rupture of wandering spleen | |
Hamartoma | |
Primary splenic angiosarcoma | |
Hepatic | Peliosis hepaticus |
Hepatic adenoma/adenomatosis | |
Hepatocellular carcinoma | |
Hemangioma | |
Primary hepatic angiosarcoma | |
Metastatic cancer | |
Amyloid | |
Focal nodular hyperplasia | |
Biliary | Ruptured cholangiocarcinoma |
Transhepatic rupture of gallbladder | |
Vascular | Ruptured cystic artery pseudoaneurysm |
Ruptured splenic artery aneurysm | |
Segmental mediolytic arteriopathy | |
Gastric | Mixed cavernous-capillary hemangioma |
GIST | |
Colonic | Meckel’s diverticulitis |
GIST | |
Pancreatic | Ruptured pseudocyst |
Miscellaneous | Ruptured benign solitary fibrous tumor |