Spontaneous retroperitoneal haematoma resulting in bowel ischaemia
| Autor: | Mohamad Khalid Iskandarani, Mohammed Monem, Zakir K Mohamed |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Abdominal pain medicine.medical_specialty Ticlopidine Peritonitis 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Hematoma medicine Retroperitoneal space Humans cardiovascular diseases Retroperitoneal Space Aged business.industry Rectum Sigmoid colon General Medicine medicine.disease Surgery Clopidogrel medicine.anatomical_structure Rectal Diseases Mesenteric ischemia 030220 oncology & carcinogenesis Mesenteric Ischemia Platelet aggregation inhibitor Abdomen Radiology medicine.symptom business Tomography X-Ray Computed Platelet Aggregation Inhibitors |
| Zdroj: | BMJ case reports. 2017 |
| ISSN: | 1757-790X |
| Popis: | A 69-year-old man presented to the emergency department with sudden onset abdominal pain. He was hypotensive and tachycardic with a peritonitic abdomen. On admission, the patient had been taking clopidogrel, a known cause of spontaneous retroperitoneal haematoma. An initial computed tomography of the abdomen showed a mass in the pelvis, which was thought to most likely be a gastrointestinal stromal tumour arising from the sigmoid colon. Explorative surgery identified a retroperitoneal haematoma of the rectosigmoid region. There was no evidence of bowel perforation. Hence a washout and closure was performed. Five days following an initial improvement, the patient developed symptoms of peritonitis. A second operation revealed that the rectum had become necrotic and perforated with free faeces. The ischaemia was caused by the retroperitoneal haematoma restricting the blood supply to this part of the upper rectum. |
| Databáze: | OpenAIRE |
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