A CASE OF HEMOPERITONEUM DUE TO RUPTURED LEFT GASTROEPIPLOIC ARTERY ANEURYSM
| Autor: | Toshio Kanai, Takafumi Ono, Akahito Aoki, Shigeo Okazeri, Hideo Shimada |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Abdominal pain medicine.diagnostic_test business.industry Physical examination Greater omentum medicine.disease Surgery body regions Hematoma medicine.anatomical_structure Aneurysm Angiography medicine Abdomen cardiovascular diseases Radiology Hemoperitoneum medicine.symptom business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 54:3051-3055 |
| ISSN: | 0386-9776 |
| DOI: | 10.3919/ringe1963.54.3051 |
| Popis: | We experienced a case of hemoperitoneum due to a ruptured left gastorcepiploic artery aneurysm. A 49-year-old man was transferred to the hospital because of severe abdominal pain which developed after recovering from loss of consciousness. On physical examination, there was a board-like rigidity in the entire abdomen. Ultrasonography revealed a collection of intraperitoneal fluid. Further exploration revealed a coagula of blood in the peritoneal cavity. However, the origin of the bleeding could not be found. Postoperative angiography of the abdomen demonstrated a left gastroepiploic artery aneurysm l cm in size without extravasation of contrast dye. On the sixteenth postoperative day, the patient again complained of similer abdominal pain. Emergency operation was performed and a small ballshaped hematoma oozing of blood was found in the greater omentum. Partial resection of the omentum including this hematoma was performed. The postoperative course was satisfactory. Only seven cases of gastrcepiploic artery aneurysm have been reported in Japan so far, and this is the first incidence of left gastrcepiploic artery aneurysm. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|