A Case of Abdominal Wall Lymphangioma Presenting as Hemoperitoneum With Hemorrhagic Shock

Abstract

The patient was a girl aged 1 year and 8 months, in whom treatment of abdominal lymphangioma had been planned. A nearby hospital referred her to us for paleness, abdominal distension and severe anemia, which had persisted from the previous day. Despite the initial diagnosis of hemorrhagic shock due to hemoperitoneum, CT did not reveal any signs of bleeding. After she was admitted into the intensive care unit (ICU), the condition of shock became worse again and bleeding from lymphangioma was observed; thus, interventional radiology (IVR) was performed. Hemoperitoneum with hemorrhagic shock due to lymphangioma is rare and has not been reported in the literature.