Hemoperitoneum after a bothrops snakebite: Case report

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dc.contributorBiotério Centralpt_BR
dc.contributorLab. Coleções Zoológicaspt_BR
dc.contributor(HVB) Hospital Vital Brazilpt_BR
dc.contributor.authorRibeiro, Adriana Baqueiro Abadpt_BR
dc.contributor.authorSantoro, Marcelo Laramipt_BR
dc.contributor.authorDuarte, Marcelo Ribeiropt_BR
dc.contributor.authorVirgulino, Cristiana Cruzpt_BR
dc.contributor.authorOliveira, Gerson Sobrinho Salvador dept_BR
dc.contributor.authorFrança, Francisco Oscar de Siqueirapt_BR
dc.date.accessioned2023-12-05T18:25:11Z-
dc.date.available2023-12-05T18:25:11Z-
dc.date.issued2023pt_BR
dc.identifier.citationRibeiro ABA, Santoro ML, Duarte MR, Virgulino CC, Oliveira GSS, França FOS. Hemoperitoneum after a bothrops snakebite: Case report. Toxicon. 2023, Jan; 237:107350. doi:10.1016/j.toxicon.2023.107350.pt_BR
dc.identifier.urihttps://repositorio.butantan.gov.br/handle/butantan/5170-
dc.description.abstractSnakebites are frequent in tropical countries. Brazil has an average of 27,000 cases per year, with a fatality rate of 0.5%, and the Bothrops genus is the most common causative agent, accounting for about 70–90% of the accidents. This report describes a case of human envenomation by a juvenile Bothrops jararaca snake in São Paulo, Brazil, in a 71 years-old man, previously healthy. He presented a life-threatening envenomation, which developed to severe hypotension, acute kidney injury and extensive peritoneal hemorrhage. The hemoperitoneum was diagnosed due to persistent hypotension associated with anemia, pain and gastrointestinal complaints. Abdominal Computed Tomography scans showed a moderate to large amount of presumable hematic material inside the abdominal cavity, predominantly in the perihepatic and perisplenic spaces. The intra-abdominal hemorrhage was not surgically addressed, and the patient was discharged 5 days after hospitalization, with the progressive absorption of the hemoperitoneum. Systemic bleeding is one of the complications and main causes of death in Bothrops envenomations. Acute peritoneal hemorrhage is one of these serious complications that must be carefully addressed since its management must take into account the risk of bleeding caused by toxins that affect hemostasis. The case described highlights the importance of early diagnosis and adequate management of this potentially fatal complication in snakebites.pt_BR
dc.description.sponsorship(CNPq) Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.format.extent107350pt_BR
dc.language.isoEnglishpt_BR
dc.relation.ispartofToxiconpt_BR
dc.rightsRestricted accesspt_BR
dc.titleHemoperitoneum after a bothrops snakebite: Case reportpt_BR
dc.typeArticlept_BR
dc.identifier.doi10.1016/j.toxicon.2023.107350pt_BR
dc.identifier.urlhttps://doi.org/10.1016/j.toxicon.2023.107350pt_BR
dc.contributor.externalInstituto de Infectologia Emílio Ribaspt_BR
dc.contributor.external(USP) Universidade de São Paulopt_BR
dc.identifier.citationvolume237pt_BR
dc.subject.keywordsnakebitept_BR
dc.subject.keywordBothrops envenomationpt_BR
dc.subject.keywordHemoperitoneumpt_BR
dc.subject.keywordperitoneal hemorrhagept_BR
dc.subject.keywordcase reportpt_BR
dc.relation.ispartofabbreviatedToxiconpt_BR
dc.identifier.citationabntv.237, 107350, jan. 2023pt_BR
dc.identifier.citationvancouver2023, Jan; 237:107350pt_BR
dc.contributor.butantanSantoro, Marcelo Larami|:Pesquisador|:Biotério Central|:pt_BR
dc.contributor.butantanDuarte, Marcelo Ribeiro|:Tecnico|:Lab. Coleções Zoológicas|:pt_BR
dc.sponsorship.butantan(CNPq) Conselho Nacional de Desenvolvimento Científico e Tecnológico¦¦309980/2021-6pt_BR
dc.identifier.bvsccBR78.1pt_BR
dc.identifier.bvsdbIBProdpt_BR
dc.description.dbindexedYespt_BR
item.openairetypeArticle-
item.fulltextCom Texto completo-
item.languageiso639-1English-
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