ABSTRACT
Visceral artery aneurysms represent a very rare condition. The affected patients usually present as emergency secondary to the sudden rupture of the aneurysm or as an incidental finding on imaging. In this setting, gastric and gastroepiploic aneurysms account for only about 4% of all the splancnic aneurysms. Since ruptured visceral aneurysms present a high mortality, a prompt and adequate (surgical or radiological interventional) treatment is mandatory. Due to the difficulty in achieving an adequate transcatheter access in some cases the emergency laparotomy may represent the only chance for the recover of the affected patients. We report two cases of ruptured left gastroepiploic aneurysms occurred in two young male patients, treated respectively with emergency laparotomy and laparoscopy.
Subject(s)
Aneurysm, Ruptured/complications , Gastroepiploic Artery/injuries , Hemorrhage/etiology , Rare Diseases/complications , Adult , Aneurysm, Ruptured/surgery , Emergencies , Hemorrhage/surgery , Humans , Laparoscopy , Laparotomy , Male , Rare Diseases/surgery , Retroperitoneal Space , Rupture, Spontaneous/etiology , Rupture, Spontaneous/surgery , Young AdultABSTRACT
Parental visitation in pediatric intensive care units, induction rooms, and postanesthesia care units is still limited despite the incongruence of such policies with existing stress and social-support theories. As recently as 1994, a survey of 125 randomly selected hospitals in 10 southeastern states found that 57% restricted visits to pediatric patients in intensive care units to brief periods, 5 to 15 times per day (Whitis, 1994). Little justification can be found for these practices. Infection rates have not been found to increase with initiation of 24-hour visitation by family members and support persons. The positive emotional impact of parental presence during a child's hospitalization has been documented for both parents and children. To bring about changes to permit and support open visitation, several things are necessary. First, an understanding of the historical context of visitation policies is important. Second, efforts to dispel concerns are needed, including staff preparation. Third, a philosophical switch to family-centered care must be adopted.
