Spontaneous colonic mesenteric hemorrhage: report of an unusual case of abdominal apoplexy
Autor: | D. Mark Zebley, Eugene F. Reilly, Joseph A. Blansfield |
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Rok vydání: | 2005 |
Předmět: |
Male
medicine.medical_specialty Exploratory laparotomy medicine.medical_treatment Diagnosis Differential Colonic Diseases Hematoma Colostomy medicine Humans Mesentery Hemoperitoneum Splenic flexure Rupture Spontaneous business.industry Gastroenterology General Medicine Bleed Middle Aged medicine.disease Colorectal surgery Surgery medicine.anatomical_structure Abdomen Radiology medicine.symptom business Gastrointestinal Hemorrhage Tomography X-Ray Computed |
Zdroj: | Diseases of the colon and rectum. 48(7) |
ISSN: | 0012-3706 |
Popis: | We describe a case of idiopathic abdominal apoplexy secondary to a spontaneous mesocolic bleed. Preoperative computed tomography of the abdomen suggested a ruptured colonic mass at the splenic flexure. The diagnosis was made when exploratory laparotomy revealed hemoperitoneum and an extensive hematoma in the transverse mesocolon, with no apparent source. Idiopathic abdominal apoplexy is rare, the reported mortality has historically been high, and a short hospital stay and rapid, complete recovery are uncommon, although outcomes may be improving in recent years. We present such a case and examine the clinical presentation, management, and prognosis through literature review. |
Databáze: | OpenAIRE |
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