Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report
| Autor: | Ines Bolais Monica, Narcisa Guimaraes, Marta M. Ferreira, Isabel Borges, José Valente Cecílio, A.R. Fonseca, Daniela Pato Pais, Simone Oliveira, Ana Couceiro, Sara Andrade |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Motorcycle accident RD1-811 Exploratory laparotomy medicine.medical_treatment Case Report Signs and symptoms Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Medicine Orthopedics and Sports Medicine Hemoperitoneum 030222 orthopedics business.industry 030208 emergency & critical care medicine medicine.disease Mesenteric laceration Surgery Abdominal trauma Blunt trauma Emergency Medicine medicine.symptom business Hemodynamic instability |
| Zdroj: | Trauma Case Reports Trauma Case Reports, Vol 32, Iss, Pp 100424-(2021) |
| ISSN: | 2352-6440 |
| DOI: | 10.1016/j.tcr.2021.100424 |
| Popis: | Mesenteric laceration is an uncommon cause of hemoperitoneum, with nonspecific signs and symptoms and frequently is camouflaged by the signs of other traumatic lesions. There is a high risk to go unnoticed increasing morbidity and mortality. We report a case of a 43-year-old man, who was involved in a motorcycle accident, with thoraco-abdomino-pelvic trauma, but without evidence of intra-abdominal lesions on exams, with exception of hemoperitoneum. Due to hemodynamic instability, it was performed an exploratory laparotomy. Intraoperative findings were mesenteric lacerations affecting a small bowel segment. This case demonstrates that a high index of suspicion is necessary to diagnose and treat lesions like mesenteric laceration, not visible early on imaging but potentially fatal, with high risk of complications. |
| Databáze: | OpenAIRE |
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