TY - JOUR
T1 - Hemoglobinuria after massive intraperitoneal hemorrhage
AU - Cohn, Jay N.
AU - Sagall, Elliot L.
PY - 1959/8/15
Y1 - 1959/8/15
N2 - 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
AB - 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
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U2 - 10.1001/jama.1959.03010160028008
DO - 10.1001/jama.1959.03010160028008
M3 - Article
C2 - 13672786
AN - SCOPUS:70349781643
SN - 0002-9955
VL - 170
SP - 1912
EP - 1915
JO - Journal of the American Medical Association
JF - Journal of the American Medical Association
IS - 16
ER -