PT - JOURNAL ARTICLE AU - Benjamin A Wagner AU - Dwight D Harris AU - Matthew R Shalvoy AU - Julie C Bulman TI - Spontaneous intraperitoneal haemorrhage of the gastric vessels AID - 10.1136/bcr-2022-250730 DP - 2022 Oct 01 TA - BMJ Case Reports PG - e250730 VI - 15 IP - 10 4099 - http://casereports.bmj.com/content/15/10/e250730.short 4100 - http://casereports.bmj.com/content/15/10/e250730.full SO - BMJ Case Reports2022 Oct 01; 15 AB - A male in his 70s presented to the emergency department with sudden-onset abdominal pain and syncope. While in the emergency department, he developed worsening hypotension and anaemia. A CT angiogram was suggestive of abdominal apoplexy (spontaneous intraperitoneal haemorrhage), which was treated successfully with embolisation of the bleeding vessels. Spontaneous bleeding was thought to be related to his initiation of apixaban 1 week previously. The patient made an excellent recovery and was transitioned back to oral anticoagulation.