Segmental arterial mediolysis with a ruptured visceral artery on two consecutive days.
Autor: | Ito C; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Koyama T; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Fujimori D; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Takahashi I; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Kasuya M; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Oe K; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Sakamoto S; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Yoshida R; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Yoshiike H; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Ito M; Department of Emergency Medicine Asahi General Hospital Chiba Japan., Yamashita W; Department of Radiology Asahi General Hospital Chiba Japan., Watanabe S; Department of Radiology Asahi General Hospital Chiba Japan., Isogai J; Department of Radiology Asahi General Hospital Chiba Japan. |
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Jazyk: | angličtina |
Zdroj: | Acute medicine & surgery [Acute Med Surg] 2023 Oct 07; Vol. 10 (1), pp. e899. Date of Electronic Publication: 2023 Oct 07 (Print Publication: 2023). |
DOI: | 10.1002/ams2.899 |
Abstrakt: | Background: We describe a case of segmental arterial mediolysis in which a vessel ruptured on two consecutive days. Case Presentation: A 69-year-old man presented with sudden-onset abdominal pain. Computed tomography showed a hematoma in the gastric wall. The patient was discharged after the pain was relieved but returned 8 h later with abdominal pain and shock. Repeated computed tomography revealed a massive intra-abdominal hemorrhage without previous aneurysm formation. Emergency angiography and coil embolization were successfully carried out. Segmental arterial mediolysis was diagnosed after irregular vasodilated lesions were observed in multiple arteries. Conclusion: This case suggests that accurately predicting the next vessel rupture is difficult. For patients experiencing intra-abdominal bleeding with segmental arterial mediolysis, we suggest treating only ruptured aneurysms and closely following-up unruptured aneurysms. Competing Interests: The authors declare no conflict of interests for this article. (© 2023 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.) |
Databáze: | MEDLINE |
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