Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report

Autor: Marta M. Ferreira, Narcisa Guimarães, Inês Bolais Mónica, Simone Oliveira, Daniela Pais, Sara Andrade, Alice Fonseca, Ana Couceiro, Isabel Borges, José Valente Cecílio
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Trauma Case Reports, Vol 32, Iss , Pp 100424- (2021)
Druh dokumentu: article
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.
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