Hemoglobinuria after massive intraperitoneal hemorrhage

Jay N. Cohn, Elliot L. Sagall

Research output: Contribution to journalArticlepeer-review

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Determination of plasma hemoglobin levels may be a useful clinical tool for detection of bloody serous effusions when direct aspiration cannot be carried out successfully. After such extravasation, there is usually rapid absorption of unchanged blood cells through the diaphragmatic peritoneum, with return to the general circulation through mediastinal and parasternal lymphatics. Any delay in this absorption process would probably increase the degree of hemolysis. In this patient, massive hemolysis occurred. Factors probably responsible included excessive load on the lymphatic system, extreme abdominal distention, and pulmonary edema causing engorgement of the right lymphatic duct, with delayed appearance of hemoglobinemia and hemoglobinuria. Copyright, 1959, by American Medical Association

Original languageEnglish (US)
Pages (from-to)1912-1915
Number of pages4
JournalJournal of the American Medical Association
Issue number16
StatePublished - Aug 15 1959


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