# Acute Hemoperitoneum Caused by the Ruptured Arc of Buhler

## TL;DR

A rare blood vessel called the arc of Buhler ruptured, causing severe internal bleeding in a patient, leading to emergency treatment.

## Contribution

This case report highlights the clinical significance of a rare embryonic vascular remnant causing acute hemoperitoneum.

## Key findings

- The arc of Buhler was identified as the source of a life-threatening rupture causing hemoperitoneum.
- The patient required urgent resuscitation and surgical intervention to manage the bleeding.

## Abstract

The arc of Buhler is a persistent connection between the celiac trunk and the superior mesenteric artery, which is an embryogenic remnant. This case report details the series of events that led to the discovery of an arc of Buhler after a patient was found to have significant hemoperitoneum secondary to the rupture of this pathology. It includes the patient's initial presentation, resuscitation, and surgical management.