Spontaneous rupture of right gastroepiploic artery aneurysm: a rare cause of hemorrhagic shock. case report
São Paulo med. j
;
136(5): 488-491, Sept.-Oct. 2018. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-979380
ABSTRACT
ABSTRACT CONTEXT Aneurysms of the gastroepiploic arteries are seen only rarely. They are usually diagnosed during autopsy or laparotomy in patients with hemodynamic instability. Although the operation to treat this condition is relatively easy, delay in making the diagnosis affects the course of the disease. Case Report A 57-year-old woman was admitted to the emergency department with abdominal pain and unconsciousness. A computed tomography scan showed extravasation of contrast agent at the headcorpus junction of the pancreas, and the patient underwent exploratory laparotomy under general anesthesia. During laparotomy, aneurysmatic rupture of the right gastroepiploic artery was detected. Control over bleeding was achieved by ligating the right gastroepiploic artery at its origin. The aneurysm was also resected and sent for pathological examination. CONCLUSION:
Especially in cases of unidentified shock, splanchnic artery aneurysms should be kept in mind. Moreover, in the light of the data in the literature, the possibility of death should be taken into account seriously and, if feasible, prophylactic aneurysmectomy should be performed.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Choque Hemorrágico
/
Aneurisma Roto
/
Arteria Gastroepiploica
Tipo de estudio:
Estudio de etiología
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
São Paulo med. j
Asunto de la revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Año:
2018
Tipo del documento:
Artículo
País de afiliación:
Turquía
Institución/País de afiliación:
Kayseri Training and Research Hospital/TR
/
Sason State Hospital/TR
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