{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:04Z","timestamp":1756307404726,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,11,12]]},"abstract":"<jats:p>Spontaneous haemoperitoneum is rare. When it occurs it is a life-threatening condition. Common causes of this are gynaecological in nature and rarely due to colonic diverticular perforation. Diverticulitis is a common condition affecting people in western countries. This presentation of spontaneous haemoperitoneum highlights the disproportionate abdominal pain and opioid-induced constipation. Significant bloods on admission included haemoglobin of 148\u2005g\/L, C reactive protein (CRP) of 1.1\u2005mg\/L, white cell count (WCC) of 12.7\u00d710<jats:sup>9<\/jats:sup>\/L (neutrophils 10.9\u00d710<jats:sup>9<\/jats:sup>\/L). Bloods repeated 10\u2005h later revealed the haemoglobin had dropped to 100\u2005g\/L, CRP had increased significantly to 120\u2005mg\/L, WCC: 7.4\u00d710<jats:sup>9<\/jats:sup>\/L (neutrophils 5.3\u00d710<jats:sup>9<\/jats:sup>\/L) and a reduced packed cell volume: 0.307\u2005L\/L. CT scan revealed free fluid and a possible mass. At laparoscopy, frank haemoperitoneum was seen and a decision was made to open and perform a Hartmann's procedure. The patient did very well postoperatively and was discharged on the ninth postoperative day. He is currently awaiting reversal of the ileostomy.<\/jats:p>","DOI":"10.1136\/bcr-2014-207849","type":"journal-article","created":{"date-parts":[[2014,12,5]],"date-time":"2014-12-05T07:52:10Z","timestamp":1417765930000},"page":"bcr2014207849","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous haemoperitoneum due to a sigmoid diverticulum"],"prefix":"10.1136","volume":"2014","author":[{"given":"Jayan","family":"George","sequence":"first","affiliation":[{"name":"Respiratory Department, Abertawe Bro Morgannwg University Health Board, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abozed","family":"Ben-Sassi","sequence":"additional","affiliation":[{"name":"Department of General Surgical Directorate, Wrexham Maelor Hospital, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wrexham Maelor Hospital, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,12,5]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082707310988000_2014.dec05_1.bcr2014207849.1","DOI":"10.1016\/S0011-3840(00)80011-8"},{"doi-asserted-by":"publisher","key":"2025082707310988000_2014.dec05_1.bcr2014207849.2","DOI":"10.1067\/j.cpradiol.2005.06.001"},{"doi-asserted-by":"publisher","key":"2025082707310988000_2014.dec05_1.bcr2014207849.3","DOI":"10.1007\/s10140-007-0594-0"},{"doi-asserted-by":"publisher","key":"2025082707310988000_2014.dec05_1.bcr2014207849.4","DOI":"10.1136\/bmj.332.7536.271"},{"key":"2025082707310988000_2014.dec05_1.bcr2014207849.5","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/S0016-5085(76)80545-8","article-title":"Pathogenesis of bleeding colonic diverticulosis","volume":"71","author":"Meyers","year":"1976","journal-title":"Gastroenterology"},{"doi-asserted-by":"publisher","key":"2025082707310988000_2014.dec05_1.bcr2014207849.6","DOI":"10.1148\/rg.271065042"},{"key":"2025082707310988000_2014.dec05_1.bcr2014207849.7","first-page":"715","article-title":"Haemoperitoneum associated with a solitary diverticulum of the sigmoid colon","volume":"35","author":"Lawson","year":"1961","journal-title":"S Afr Med J"},{"doi-asserted-by":"crossref","unstructured":"Kye BH , Kim HJ , Yoon JH , et al . Spontaneous hemoperitoneum caused by a diverticulum of the sigmoid colon. Int J Med Sci 2011;8:467.","key":"2025082707310988000_2014.dec05_1.bcr2014207849.8","DOI":"10.7150\/ijms.8.467"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207849","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:31:19Z","timestamp":1756305079000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,5]]},"references-count":8,"alternative-id":["10.1136\/bcr-2014-207849"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207849","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,12,5]]}}}